KATHIE L WALWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099956

License Status

NOT RENEWED

Business

First Name

KATHIE L

Last Name

WALWORTH

Business Name

KATHIE L WALWORTH

Original Issue Date

04/22/1992

Effective Date

04/22/1992

Expiration Date

03/31/1995

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/17/2005