JERRY W WALTERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033545

License Status

NOT RENEWED

Business

First Name

JERRY W

Last Name

WALTERS

Business Name

JERRY W WALTERS

Original Issue Date

11/12/1980

Effective Date

01/14/2020

Expiration Date

07/31/2022

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2022