WILLIAM WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058109

License Status

NOT RENEWED

Business

First Name

WILLIAM

Last Name

WALLACE

Business Name

WILLIAM WALLACE

Original Issue Date

07/15/1972

Effective Date

07/15/1972

Expiration Date

03/31/1996

City

ROSICLARE

State

Zip

62982

County

HARDIN

Ever Disciplined

LastModifiedDate

10/17/2005