JAMES RUSSELL WALLACE - Pharmacist License in Illinois | # 049063536

JAMES RUSSELL WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063536

License Status

NOT RENEWED

Business

N

First Name

JAMES RUSSELL

Last Name

WALLACE

Business Name

JAMES RUSSELL WALLACE

Original Issue Date

05/23/1975

Effective Date

05/23/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005