IAN ROBERT WALBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197734

License Status

NOT RENEWED

Business

First Name

IAN

Middle

ROBERT

Last Name

WALBERG

Business Name

IAN ROBERT WALBERG

Original Issue Date

04/09/2010

Effective Date

04/18/2012

Expiration Date

03/31/2013

City

GENOA

State

Zip

60135

County

DEKALB

Ever Disciplined

LastModifiedDate

05/06/2013