Lisa M Wallen
InactiveIllinois license 051038563
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 051038563
- Status
- Inactive
- First issued
- August 18, 1991
- Expired
- March 31, 2024
- License holder
- Lisa M Wallen
- Entity type
- Individual
Classifications
- Registered Pharmacist (Pharmacy) Pharmacy
More from the license record
- Current term began
- 05/21/2022
Other Illinois licenses under this name
-
IL
ExpiredBerwyn, ILExpired Mar 31, 1992
Contact
New Berlin, WI 53151
Wisconsin County