STANLEY WALTER DATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159735

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

WALTER

Last Name

DATA

Business Name

STANLEY WALTER DATA

Original Issue Date

03/29/2005

Effective Date

03/29/2005

Expiration Date

03/31/2006

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2006