RANDY JO WALTERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106905

License Status

NOT RENEWED

Business

First Name

RANDY JO

Last Name

WALTERS

Business Name

RANDY JO WALTERS

Original Issue Date

05/12/1994

Effective Date

05/12/1994

Expiration Date

03/31/2000

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/21/2005