KATHLEEN M WALLENBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101737

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

WALLENBERG

Business Name

KATHLEEN M WALLENBERG

Original Issue Date

11/18/1992

Effective Date

11/18/1992

Expiration Date

03/31/1994

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005