DAMITA WALLER - Pharmacist License in Illinois | # 049217445

DAMITA WALLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217445

License Status

NOT RENEWED

Business

N

First Name

DAMITA

Last Name

WALLER

Prefix

MR

Business Name

DAMITA WALLER

Original Issue Date

04/17/2013

Effective Date

04/17/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014