MARCY L WALRAVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109384

License Status

NOT RENEWED

Business

First Name

MARCY L

Last Name

WALRAVEN

Business Name

MARCY L WALRAVEN

Original Issue Date

01/25/1995

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007