AMANDA LYNN WALLOCK - Pharmacist License in Illinois | # 049159484

AMANDA LYNN WALLOCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159484

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

LYNN

Last Name

WALLOCK

Business Name

AMANDA LYNN WALLOCK

Original Issue Date

03/07/2005

Effective Date

03/07/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006