DIANE L WALWORTH - Pharmacist License in Illinois | # 049109980

DIANE L WALWORTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109980

License Status

NOT RENEWED

Business

N

First Name

DIANE L

Last Name

WALWORTH

Business Name

DIANE L WALWORTH

Original Issue Date

03/30/1995

Effective Date

03/30/1995

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005