SHAWN RICHARD WALLINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172376

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

RICHARD

Last Name

WALLINE

Business Name

SHAWN RICHARD WALLINE

Original Issue Date

11/06/2006

Effective Date

03/24/2014

Expiration Date

03/31/2015

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2015