LISA M WALLEN - Pharmacist License in Illinois | # 049081365

LISA M WALLEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081365

License Status

NOT RENEWED

Business

N

First Name

LISA M

Last Name

WALLEN

Business Name

LISA M WALLEN

Original Issue Date

07/23/1985

Effective Date

07/23/1985

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005