TERRI LYN WALISIAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268206

License Status

NOT RENEWED

Business

First Name

TERRI

Middle

LYN

Last Name

WALISIAK

Business Name

TERRI LYN WALISIAK

Original Issue Date

10/02/2019

Effective Date

10/02/2019

Expiration Date

09/30/2020

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

01/08/2021