ERICA N WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239695

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

WALLER

Prefix

Business Name

ERICA N WALLER

Original Issue Date

02/23/2016

Effective Date

02/23/2016

Expiration Date

03/31/2017

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/10/2017