INDIA MARIE WALLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255646

License Status

NOT RENEWED

Business

First Name

INDIA

Middle

MARIE

Last Name

WALLS

Business Name

INDIA MARIE WALLS

Original Issue Date

01/19/2018

Effective Date

01/19/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019