KASSIDY JOLYNN WALTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255933

License Status

NOT RENEWED

Business

First Name

KASSIDY

Middle

JOLYNN

Last Name

WALTER

Business Name

KASSIDY JOLYNN WALTER

Original Issue Date

02/01/2018

Effective Date

03/25/2019

Expiration Date

09/30/2020

City

MANVILLE

State

Zip

61319

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

01/08/2021