MARY J WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084350

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

WALLER

Business Name

MARY J WALLER

Original Issue Date

04/24/1987

Effective Date

01/16/2009

Expiration Date

03/31/2010

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

05/04/2010