KATELYN ELISABETH WALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245148

License Status

NOT RENEWED

Business

First Name

KATELYN

Middle

ELISABETH

Last Name

WALL

Business Name

KATELYN ELISABETH WALL

Original Issue Date

10/03/2016

Effective Date

01/23/2017

Expiration Date

03/31/2018

City

SOUTH BEND

State

Zip

46619

County

INDIANA

Ever Disciplined

LastModifiedDate

06/19/2018