KRISTI SUE WALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199239

License Status

NOT RENEWED

Business

First Name

KRISTI

Middle

SUE

Last Name

WALL

Business Name

KRISTI SUE WALL

Original Issue Date

07/06/2010

Effective Date

02/10/2016

Expiration Date

03/31/2017

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/10/2017