ANNA MAKSUWON WOLTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282410

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

MAKSUWON

Last Name

WOLTER

Business Name

ANNA MAKSUWON WOLTER

Original Issue Date

05/19/2021

Effective Date

05/19/2021

Expiration Date

05/31/2022

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2022