MALCOLM K WALLEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022883

License Status

INACTIVE

Business

First Name

MALCOLM K

Last Name

WALLEN

Business Name

MALCOLM K WALLEN

Original Issue Date

01/01/1997

Expiration Date

03/31/1996

City

LOS ANGELES

State

Zip

90006

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005