JOANN M WALLOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098385

License Status

NOT RENEWED

Business

First Name

JOANN M

Last Name

WALLOW

Business Name

JOANN M WALLOW

Original Issue Date

10/30/1991

Effective Date

02/01/2010

Expiration Date

03/31/2011

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

05/12/2011