JOHN MARK WALLACE - Pharmacist License in Utah | # 051286898

JOHN MARK WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286898

License Status

NOT RENEWED

Business

N

First Name

JOHN

Middle

MARK

Last Name

WALLACE

Business Name

JOHN MARK WALLACE

Original Issue Date

10/16/1998

Effective Date

10/16/1998

Expiration Date

03/31/2000

State

UT

Ever Disciplined

N

LastModifiedDate

12/06/2005