TERESA RENEE WALLBAUM - Pharmacist License in Illinois | # 049186462

TERESA RENEE WALLBAUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186462

License Status

NOT RENEWED

Business

N

First Name

TERESA

Middle

RENEE

Last Name

WALLBAUM

Business Name

TERESA RENEE WALLBAUM

Original Issue Date

08/21/2008

Effective Date

02/19/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014