WALTER BUSTOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157444

License Status

NOT RENEWED

Business

First Name

WALTER

Last Name

BUSTOS

Business Name

WALTER BUSTOS

Original Issue Date

10/13/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ROUNDLAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009