TRACY L WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105318

License Status

NOT RENEWED

Business

First Name

TRACY L

Last Name

WALLER

Business Name

TRACY L WALLER

Original Issue Date

11/24/1993

Effective Date

11/24/1993

Expiration Date

03/31/1997

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

10/17/2005