PAMELA JEAN WALTERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032917

License Status

NOT RENEWED

Business

First Name

PAMELA JEAN

Last Name

WALTERS

Business Name

PAMELA JEAN WALTERS

Original Issue Date

08/07/1979

Effective Date

04/01/2010

Expiration Date

03/31/2012

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/07/2012