JAMIE N WALLACE - Pharmacist License in Missouri | # 049195246

JAMIE N WALLACE

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195246

License Status

INACTIVE

Business

N

First Name

JAMIE

Middle

N

Last Name

WALLACE

Business Name

JAMIE N WALLACE

Original Issue Date

11/09/2009

Effective Date

11/09/2009

Expiration Date

03/31/2010

State

MO

Ever Disciplined

N

LastModifiedDate

01/12/2010