Jerry Wayne Walters
InactiveIllinois license 049071981
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049071981
- Status
- Inactive (Cancelled)
- First issued
- October 5, 1979
- Expired
- January 1, 1997
- License holder
- Jerry Wayne Walters
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/05/1979
Contact
Zion, IL 60099
Lake County