DAVID M WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093879

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

WALLACE

Business Name

DAVID M WALLACE

Original Issue Date

07/24/1990

Effective Date

03/21/2013

Expiration Date

03/31/2014

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014