MICHAEL J WALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126344

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

WALL

Business Name

MICHAEL J WALL

Original Issue Date

06/16/1999

Effective Date

06/16/1999

Expiration Date

03/31/2000

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005