MISTY D STALLWORTH - Pharmacist License in Illinois | # 049160659

MISTY D STALLWORTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160659

License Status

NOT RENEWED

Business

N

First Name

MISTY

Middle

D

Last Name

STALLWORTH

Business Name

MISTY D STALLWORTH

Original Issue Date

04/28/2005

Effective Date

09/28/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011