MICHAEL W WALL Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060472

License Status

CANCELLED

Business

First Name

MICHAEL W

Last Name

WALL

Business Name

MICHAEL W WALL

Original Issue Date

10/15/1973

Effective Date

10/15/1973

Expiration Date

01/01/1997

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005