MAX DOUGLAS WALTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252047

License Status

NOT RENEWED

Business

First Name

MAX

Middle

DOUGLAS

Last Name

WALTON

Business Name

MAX DOUGLAS WALTON

Original Issue Date

07/28/2017

Effective Date

03/05/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021