STEVEN JOSEPH WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158936

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

JOSEPH

Last Name

WALLACE

Business Name

STEVEN JOSEPH WALLACE

Original Issue Date

01/21/2005

Effective Date

01/21/2005

Expiration Date

03/31/2006

City

OXFORD

State

Zip

52322

County

IOWA

Ever Disciplined

LastModifiedDate

05/11/2006