CURT A WAHLMARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197212

License Status

NOT RENEWED

Business

First Name

CURT

Middle

Last Name

WAHLMARK

Business Name

CURT A WAHLMARK

Original Issue Date

03/09/2010

Effective Date

01/05/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012