WALLACE L SIMONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039800

License Status

NOT RENEWED

Business

First Name

WALLACE L

Last Name

SIMONS

Business Name

WALLACE L SIMONS

Original Issue Date

08/19/1994

Effective Date

08/19/1994

Expiration Date

03/31/1998

City

SURPRISE

State

Zip

85374

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005