SAMUEL LEE WALTERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184465

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

LEE

Last Name

WALTERS

Business Name

SAMUEL LEE WALTERS

Original Issue Date

05/21/2008

Effective Date

05/21/2008

Expiration Date

03/31/2009

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/06/2009