CHARLES E WALLNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057623

License Status

NOT RENEWED

Business

First Name

CHARLES E

Last Name

WALLNER

Business Name

CHARLES E WALLNER

Original Issue Date

04/18/1972

Effective Date

04/18/1972

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005