JAQUISHA S WALLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236469

License Status

NOT RENEWED

Business

First Name

JAQUISHA

Middle

Last Name

WALLS

Prefix

Business Name

JAQUISHA S WALLS

Original Issue Date

09/30/2015

Effective Date

09/30/2015

Expiration Date

03/31/2016

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/20/2016