TRAVIS J WALTERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203712

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

WALTERS

Prefix

Business Name

TRAVIS J WALTERS

Original Issue Date

04/16/2011

Effective Date

04/16/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012