MONICA WALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144689

License Status

NOT RENEWED

Business

First Name

MONICA

Last Name

WALLEN

Business Name

MONICA WALLEN

Original Issue Date

09/17/2002

Effective Date

09/17/2002

Expiration Date

03/31/2004

City

JOLIET

State

Zip

60432

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005