JEAN E WALLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068165

License Status

NOT RENEWED

Business

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

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/17/2005