DAVID M WALLENIUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141295

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

WALLENIUS

Business Name

DAVID M WALLENIUS

Original Issue Date

03/11/2002

Effective Date

03/11/2002

Expiration Date

03/31/2003

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005