TRISHA A WALLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197106

License Status

NOT RENEWED

Business

First Name

TRISHA

Middle

Last Name

WALLIS

Prefix

Business Name

TRISHA A WALLIS

Original Issue Date

03/03/2010

Effective Date

03/03/2010

Expiration Date

03/31/2011

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/12/2011