MARK EUGENE WALZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034204

License Status

NOT RENEWED

Business

First Name

MARK EUGENE

Last Name

WALZ

Business Name

MARK EUGENE WALZ

Original Issue Date

05/11/1982

Effective Date

03/31/2014

Expiration Date

03/31/2016

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/30/2018

Case Number

2016004612

Action

Surrender In Lieu Of Other Discipline

Discipline Start Date

08/21/2018

Discipline Reason

due to fraudulently altering prescriptions for self-use.