JASON R WALSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143752

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

WALSTROM

Business Name

JASON R WALSTROM

Original Issue Date

07/18/2002

Effective Date

07/18/2002

Expiration Date

03/31/2003

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005