MAKENZIE LYNN WALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049294541

License Status

NOT RENEWED

Business

First Name

MAKENZIE

Middle

LYNN

Last Name

WALL

Business Name

MAKENZIE LYNN WALL

Original Issue Date

08/01/2022

Effective Date

03/08/2023

Expiration Date

03/31/2024

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

01/03/2025