KATHLEEN ANN WALLACE - Pharmacist License in Iowa | # 049204902

KATHLEEN ANN WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204902

License Status

NOT RENEWED

Business

N

First Name

KATHLEEN

Middle

ANN

Last Name

WALLACE

Business Name

KATHLEEN ANN WALLACE

Original Issue Date

06/21/2011

Effective Date

06/21/2011

Expiration Date

03/31/2012

State

IA

Ever Disciplined

N

LastModifiedDate

05/07/2012