SHIELA R WALTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096741

License Status

NOT RENEWED

Business

First Name

SHIELA R

Last Name

WALTZ

Business Name

SHIELA R WALTZ

Original Issue Date

04/30/1991

Effective Date

04/30/1991

Expiration Date

03/31/1994

City

ASSUMPTION

State

Zip

62510

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/17/2005