DAMITA WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217445

License Status

NOT RENEWED

Business

First Name

DAMITA

Last Name

WALLER

Prefix

Business Name

DAMITA WALLER

Original Issue Date

04/17/2013

Effective Date

04/17/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014