JEAN E WALLIS - Pharmacist License in Illinois | # 049068165

JEAN E WALLIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068165

License Status

NOT RENEWED

Business

N

First Name

JEAN E

Last Name

WALLIS

Business Name

JEAN E WALLIS

Original Issue Date

09/23/1977

Effective Date

09/23/1977

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005