SHARI I WALLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079748

License Status

NOT RENEWED

Business

First Name

SHARI I

Last Name

WALLIS

Business Name

SHARI I WALLIS

Original Issue Date

05/02/1984

Effective Date

05/02/1984

Expiration Date

03/31/1986

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005