TAMARA J WALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077831

License Status

NOT RENEWED

Business

First Name

TAMARA J

Last Name

WALL

Business Name

TAMARA J WALL

Original Issue Date

02/17/1983

Effective Date

02/17/1983

Expiration Date

03/31/2006

City

DUQUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

05/11/2006