LISA M WALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081365

License Status

NOT RENEWED

Business

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

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005