CHARLENE L WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074446

License Status

NOT RENEWED

Business

First Name

CHARLENE L

Last Name

WALLACE

Business Name

CHARLENE L WALLACE

Original Issue Date

03/27/1981

Effective Date

05/15/2020

Expiration Date

03/31/2021

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

07/20/2021