TONYA MARIE WALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199626

License Status

NOT RENEWED

Business

First Name

TONYA

Middle

MARIE

Last Name

WALLER

Business Name

TONYA MARIE WALLER

Original Issue Date

07/28/2010

Effective Date

07/28/2010

Expiration Date

03/31/2011

City

OLD MONROE

State

Zip

63369

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/12/2011