RYAN D WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183699

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

WALLACE

Business Name

RYAN D WALLACE

Original Issue Date

04/18/2008

Effective Date

02/09/2010

Expiration Date

03/31/2011

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

05/12/2011