REGINA J WALTERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123182

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

Last Name

WALTERS

Business Name

REGINA J WALTERS

Original Issue Date

10/09/1998

Effective Date

10/09/1998

Expiration Date

03/31/2005

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005