ANTONIA STALLWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216526

License Status

NOT RENEWED

Business

First Name

ANTONIA

Last Name

STALLWORTH

Business Name

ANTONIA STALLWORTH

Original Issue Date

03/13/2013

Effective Date

03/13/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014