SHAWN E WALLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115435

License Status

NOT RENEWED

Business

First Name

SHAWN E

Last Name

WALLIS

Business Name

SHAWN E WALLIS

Original Issue Date

10/01/1996

Effective Date

03/15/2015

Expiration Date

03/31/2016

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

05/20/2016