COURTNEY N WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139517

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

Last Name

WALLER

Business Name

COURTNEY N WALLER

Original Issue Date

12/07/2001

Effective Date

12/07/2001

Expiration Date

03/31/2003

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005