WALTER CARREON VILLANUEVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122625

License Status

NOT RENEWED

Business

First Name

WALTER

Middle

CARREON

Last Name

VILLANUEVA

Business Name

WALTER CARREON VILLANUEVA

Original Issue Date

08/27/1998

Effective Date

08/27/1998

Expiration Date

03/31/2004

City

CHICAGO

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005