MICHAEL T DEWALD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184907

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

Last Name

DEWALD

Business Name

MICHAEL T DEWALD

Original Issue Date

06/13/2008

Effective Date

06/13/2008

Expiration Date

03/31/2009

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

01/06/2009