CHARLES A WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100636

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

WALLACE

Business Name

CHARLES A WALLACE

Original Issue Date

07/08/1992

Effective Date

07/08/1992

Expiration Date

03/31/1997

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005