LISA M WALLEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038563

License Status

INACTIVE

Business

First Name

LISA M

Last Name

WALLEN

Business Name

LISA M WALLEN

Original Issue Date

08/18/1991

Effective Date

05/21/2022

Expiration Date

03/31/2024

City

NEW BERLIN

State

Zip

53151

County

WISCONSIN

Ever Disciplined

LastModifiedDate

03/09/2024