ADAM SPENCER WALTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160511

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

SPENCER

Last Name

WALTER

Business Name

ADAM SPENCER WALTER

Original Issue Date

04/22/2005

Effective Date

01/09/2009

Expiration Date

03/31/2010

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/04/2010