THELMA ROSE DAYWALT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113434

License Status

NOT RENEWED

Business

First Name

THELMA ROSE

Last Name

DAYWALT

Business Name

THELMA ROSE DAYWALT

Original Issue Date

02/17/1996

Effective Date

02/17/1996

Expiration Date

03/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005