WALLY JO CAMPHAUSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126055

License Status

NOT RENEWED

Business

First Name

WALLY

Middle

Last Name

CAMPHAUSEN

Business Name

WALLY JO CAMPHAUSEN

Original Issue Date

05/25/1999

Effective Date

02/04/2014

Expiration Date

03/31/2015

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2015