MARY LYNN WALIULLAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119657

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LYNN

Last Name

WALIULLAH

Business Name

MARY LYNN WALIULLAH

Original Issue Date

12/22/1997

Effective Date

12/22/1997

Expiration Date

03/31/2000

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005