ERICA N WALLER - Pharmacist License in Illinois | # 049239695

ERICA N WALLER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239695

License Status

NOT RENEWED

Business

N

First Name

ERICA

Middle

N

Last Name

WALLER

Prefix

MR

Business Name

ERICA N WALLER

Original Issue Date

02/23/2016

Effective Date

02/23/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017