THOMAS THORNTON DAYWALT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185569

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

THORNTON

Last Name

DAYWALT

Business Name

THOMAS THORNTON DAYWALT

Original Issue Date

07/15/2008

Effective Date

03/27/2009

Expiration Date

03/31/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/04/2010