EARL STANLEY WALDEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103253

License Status

NOT RENEWED

Business

First Name

EARL

Middle

STANLEY

Last Name

WALDEN

Business Name

EARL STANLEY WALDEN

Original Issue Date

04/28/1993

Effective Date

04/28/1993

Expiration Date

03/31/1995

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005