MARY L WAHLSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183718

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

WAHLSTROM

Prefix

Business Name

MARY L WAHLSTROM

Original Issue Date

04/20/2008

Effective Date

04/21/2010

Expiration Date

03/31/2011

City

CHANNAHON

State

Zip

60410

County

WILL

Ever Disciplined

LastModifiedDate

05/12/2011