DANIEL J WALSEN - Pharmacist License in Illinois | # 049158055

DANIEL J WALSEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158055

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

J

Last Name

WALSEN

Business Name

DANIEL J WALSEN

Original Issue Date

12/01/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009