LORI A WALLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164400

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

WALLIN

Business Name

LORI A WALLIN

Original Issue Date

10/06/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007