MICHELLE K WALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117481

License Status

NOT RENEWED

Business

First Name

MICHELLE K

Last Name

WALL

Business Name

MICHELLE K WALL

Original Issue Date

05/06/1997

Effective Date

05/06/1997

Expiration Date

03/31/2000

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005