MARTIN S WALLER - Pharmacist License in Illinois | # 049169306

MARTIN S WALLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169306

License Status

NOT RENEWED

Business

N

First Name

MARTIN

Middle

S

Last Name

WALLER

Business Name

MARTIN S WALLER

Original Issue Date

06/14/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008