DANIELLE MARIE WALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240558

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

MARIE

Last Name

WALLA

Business Name

DANIELLE MARIE WALLA

Original Issue Date

03/29/2016

Effective Date

03/29/2016

Expiration Date

03/31/2017

City

SUAMICO

State

Zip

54313

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/10/2017