ALYSSA ANN WADLOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191663

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

ANN

Last Name

WADLOW

Business Name

ALYSSA ANN WADLOW

Original Issue Date

05/14/2009

Effective Date

01/28/2011

Expiration Date

03/31/2012

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

05/07/2012