JAQUISHA S WALLS - Pharmacist License in Wisconsin | # 049236469

JAQUISHA S WALLS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236469

License Status

NOT RENEWED

Business

N

First Name

JAQUISHA

Middle

S

Last Name

WALLS

Prefix

MR

Business Name

JAQUISHA S WALLS

Original Issue Date

09/30/2015

Effective Date

09/30/2015

Expiration Date

03/31/2016

State

WI

Ever Disciplined

N

LastModifiedDate

05/20/2016