DONALD R WALLACE - Pharmacist License in Illinois | # 049082150

DONALD R WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082150

License Status

NOT RENEWED

Business

N

First Name

DONALD R

Last Name

WALLACE

Business Name

DONALD R WALLACE

Original Issue Date

01/28/1986

Effective Date

01/28/1986

Expiration Date

03/31/1989

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005