Philip A Wallen
ExpiredIllinois license 049143193
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049143193
- Status
- Expired (Not Renewed)
- First issued
- June 13, 2002
- Expired
- March 31, 2003
- License holder
- Philip A Wallen
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/13/2002
Contact
Beason, IL 62512
Logan County