MELICENT M WALTERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178148

License Status

NOT RENEWED

Business

First Name

MELICENT

Middle

Last Name

WALTERS

Business Name

MELICENT M WALTERS

Original Issue Date

07/31/2007

Effective Date

05/01/2009

Expiration Date

03/31/2010

City

CANTRALL

State

Zip

62625

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010