Jacqueline A Moo Wallis
ExpiredIllinois license 049080455
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049080455
- Status
- Expired (Not Renewed)
- First issued
- November 16, 1984
- Expired
- March 31, 2007
- License holder
- Jacqueline A Moo Wallis
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/19/2006
Contact
Hammond, IN 46324
Indiana County