ANTOINETTE D STALLWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198205

License Status

NOT RENEWED

Business

First Name

ANTOINETTE

Middle

Last Name

STALLWORTH

Prefix

Business Name

ANTOINETTE D STALLWORTH

Original Issue Date

05/05/2010

Effective Date

05/05/2010

Expiration Date

03/31/2011

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011