MARTIN S WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169306

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

Last Name

WALLER

Business Name

MARTIN S WALLER

Original Issue Date

06/14/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008