JUDITH ANN M WALLIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110023

License Status

INACTIVE

Business

First Name

JUDITH ANN M

Last Name

WALLIN

Business Name

JUDITH ANN M WALLIN

Original Issue Date

04/03/1995

Effective Date

01/25/2010

Expiration Date

03/31/2011

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/05/2011