MICHAEL J WALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289645

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

WALL

Business Name

MICHAEL J WALL

Original Issue Date

09/15/2003

Effective Date

01/10/2020

Expiration Date

07/31/2022

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022