DAWN M WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065309

License Status

NOT RENEWED

Business

First Name

DAWN M

Last Name

WALLER

Business Name

DAWN M WALLER

Original Issue Date

05/07/1976

Effective Date

05/07/1976

Expiration Date

03/31/1986

City

CEDAR RAPIDS

State

Zip

52402

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005