PATRICIA K DWALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099660

License Status

NOT RENEWED

Business

First Name

PATRICIA K

Last Name

DWALL

Business Name

PATRICIA K DWALL

Original Issue Date

03/17/1992

Effective Date

03/17/1992

Expiration Date

03/31/1993

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005