CATHY A WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099463

License Status

NOT RENEWED

Business

First Name

CATHY A

Last Name

WALLACE

Business Name

CATHY A WALLACE

Original Issue Date

02/24/1992

Effective Date

02/24/1992

Expiration Date

03/31/1996

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

08/03/2018