BARBARA L WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087361

License Status

NOT RENEWED

Business

First Name

BARBARA L

Last Name

WALLACE

Business Name

BARBARA L WALLACE

Original Issue Date

07/23/1988

Effective Date

07/23/1988

Expiration Date

03/31/1989

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005