DAKOTA M WALTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049226478

License Status

NOT RENEWED

Business

First Name

DAKOTA

Middle

Last Name

WALTER

Prefix

Business Name

DAKOTA M WALTER

Original Issue Date

07/14/2014

Effective Date

03/23/2015

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016