MONICA ANN WALLBANK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238905

License Status

NOT RENEWED

Business

First Name

MONICA

Middle

ANN

Last Name

WALLBANK

Business Name

MONICA ANN WALLBANK

Original Issue Date

01/14/2016

Effective Date

03/03/2017

Expiration Date

03/31/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018