Gary T Wallbaum
ExpiredIllinois license 049101837
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049101837
- Status
- Expired (Not Renewed)
- First issued
- November 24, 1992
- Expired
- March 31, 2010
- License holder
- Gary T Wallbaum
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/31/2009
Contact
Ottawa, IL 61350
La Salle County