AMANDA LYNN WALLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159484

License Status

NOT RENEWED

Business

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

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/11/2006