JENNIFER D WALTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130967

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

WALTZ

Business Name

JENNIFER D WALTZ

Original Issue Date

05/25/2000

Effective Date

04/01/2015

Expiration Date

03/31/2016

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/20/2016