CHANDA K WALLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243913

License Status

NOT RENEWED

Business

First Name

CHANDA

Middle

Last Name

WALLS

Business Name

CHANDA K WALLS

Original Issue Date

08/10/2016

Effective Date

08/10/2016

Expiration Date

03/31/2017

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/10/2017