KENNETH E WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064688

License Status

NOT RENEWED

Business

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

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005