MARY A WALLBAUM Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160024

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

WALLBAUM

Business Name

MARY A WALLBAUM

Original Issue Date

04/08/2005

Effective Date

03/13/2026

Expiration Date

03/31/2027

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/13/2026