KENNETH E WALLACE - Pharmacist License in Illinois | # 049064688

KENNETH E WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064688

License Status

NOT RENEWED

Business

N

First Name

KENNETH E

Last Name

WALLACE

Business Name

KENNETH E WALLACE

Original Issue Date

01/02/1976

Effective Date

01/02/1976

Expiration Date

03/31/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005