DRENA D WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166927

License Status

NOT RENEWED

Business

First Name

DRENA

Middle

Last Name

WALLER

Business Name

DRENA D WALLER

Original Issue Date

03/21/2006

Effective Date

03/21/2006

Expiration Date

03/31/2007

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007