KATHEY L WALQUIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112774

License Status

NOT RENEWED

Business

First Name

KATHEY L

Last Name

WALQUIST

Business Name

KATHEY L WALQUIST

Original Issue Date

12/16/1995

Effective Date

12/16/1995

Expiration Date

03/31/2002

City

BELKNAP

State

Zip

62908

County

MASSAC

Ever Disciplined

LastModifiedDate

12/06/2005