DEVONIA DIANE WALTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117919

License Status

NOT RENEWED

Business

First Name

DEVONIA

Middle

DIANE

Last Name

WALTER

Business Name

DEVONIA DIANE WALTER

Original Issue Date

06/23/1997

Effective Date

06/23/1997

Expiration Date

03/31/2002

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

12/06/2005