RAYMOND A WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083063

License Status

NOT RENEWED

Business

First Name

RAYMOND A

Last Name

WALLACE

Business Name

RAYMOND A WALLACE

Original Issue Date

07/24/1986

Effective Date

07/24/1986

Expiration Date

03/31/1993

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005