KATHLEEN M WALLENBERG - Pharmacist License in Illinois | # 049101737

KATHLEEN M WALLENBERG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101737

License Status

NOT RENEWED

Business

N

First Name

KATHLEEN M

Last Name

WALLENBERG

Business Name

KATHLEEN M WALLENBERG

Original Issue Date

11/18/1992

Effective Date

11/18/1992

Expiration Date

03/31/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005