MARY E WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070863

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

WALLACE

Business Name

MARY E WALLACE

Original Issue Date

03/16/1979

Effective Date

03/16/1979

Expiration Date

03/31/1982

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005