DANIEL J WALSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158055

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

WALSEN

Business Name

DANIEL J WALSEN

Original Issue Date

12/01/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009