JENNIFER A WALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150402

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

WALL

Business Name

JENNIFER A WALL

Original Issue Date

08/25/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/06/2009