TENA SUE WALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119893

License Status

NOT RENEWED

Business

First Name

TENA

Middle

SUE

Last Name

WALL

Business Name

TENA SUE WALL

Original Issue Date

01/21/1998

Effective Date

01/21/1998

Expiration Date

03/31/2002

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

12/06/2005