LISA LYNN WALLIN - Pharmacist License in Illinois | # 049144954

LISA LYNN WALLIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144954

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

LYNN

Last Name

WALLIN

Business Name

LISA LYNN WALLIN

Original Issue Date

09/30/2002

Effective Date

09/30/2002

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005