LINDA SUE WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070710

License Status

NOT RENEWED

Business

First Name

LINDA SUE

Last Name

WALLER

Business Name

LINDA SUE WALLER

Original Issue Date

02/16/1979

Effective Date

02/16/1979

Expiration Date

01/01/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005