PATRICIA J DEWALT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223336

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

DEWALT

Business Name

PATRICIA J DEWALT

Original Issue Date

02/10/2014

Effective Date

03/12/2018

Expiration Date

03/31/2019

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019