LACE P WALTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219944

License Status

NOT RENEWED

Business

First Name

LACE

Middle

Last Name

WALTON

Prefix

Business Name

LACE P WALTON

Original Issue Date

08/12/2013

Effective Date

03/05/2014

Expiration Date

03/31/2015

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015