MADELYN S WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049270286

License Status

NOT RENEWED

Business

First Name

MADELYN

Middle

Last Name

WALLER

Business Name

MADELYN S WALLER

Original Issue Date

01/13/2020

Effective Date

01/13/2020

Expiration Date

03/31/2021

City

HENRY

State

Zip

61537

County

MARSHALL

Ever Disciplined

LastModifiedDate

07/25/2022