THOMAS ROBERT WALTERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224053

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

ROBERT

Last Name

WALTERS

Business Name

THOMAS ROBERT WALTERS

Original Issue Date

03/24/2014

Effective Date

03/24/2014

Expiration Date

03/31/2015

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/11/2015