REBECCA J WALLER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057916

License Status

CANCELLED

Business

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

City

BRADLEY

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005