NATALIE JANE WALLBAUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241827

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

JANE

Last Name

WALLBAUM

Business Name

NATALIE JANE WALLBAUM

Original Issue Date

05/12/2016

Effective Date

03/14/2017

Expiration Date

03/31/2018

City

FRANKLIN

State

Zip

62638

County

MORGAN

Ever Disciplined

LastModifiedDate

06/19/2018