CORI D WALRAVEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194348

License Status

NOT RENEWED

Business

First Name

CORI

Middle

Last Name

WALRAVEN

Prefix

Business Name

CORI D WALRAVEN

Original Issue Date

09/20/2009

Effective Date

09/20/2009

Expiration Date

03/31/2010

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

05/04/2010