JEAN M WALLINGFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067628

License Status

NOT RENEWED

Business

First Name

JEAN M

Last Name

WALLINGFORD

Business Name

JEAN M WALLINGFORD

Original Issue Date

06/24/1977

Effective Date

06/24/1977

Expiration Date

01/01/1997

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005