REBECCA J WALLER - Pharmacist License in Illinois | # 049057916

REBECCA J WALLER

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057916

License Status

CANCELLED

Business

N

First Name

REBECCA J

Last Name

WALLER

Business Name

REBECCA J WALLER

Original Issue Date

06/17/1972

Effective Date

06/17/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005