LISA LYNN WALLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144954

License Status

NOT RENEWED

Business

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

City

MINOOKA

State

Zip

60447

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/20/2005