WALTER J FICKENWORTH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022246

License Status

INACTIVE

Business

First Name

WALTER J

Last Name

FICKENWORTH

Business Name

WALTER J FICKENWORTH

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005