LATRES A WALTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096541

License Status

NOT RENEWED

Business

First Name

LATRES A

Last Name

WALTON

Business Name

LATRES A WALTON

Original Issue Date

04/12/1991

Effective Date

04/12/1991

Expiration Date

03/31/2001

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/21/2005