GRACE ANN WALLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049290789

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

ANN

Last Name

WALLS

Business Name

GRACE ANN WALLS

Original Issue Date

02/19/2022

Effective Date

02/19/2022

Expiration Date

03/31/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/07/2023