TERRI S WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100755

License Status

NOT RENEWED

Business

First Name

TERRI S

Last Name

WALLACE

Business Name

TERRI S WALLACE

Original Issue Date

07/16/1992

Effective Date

03/31/2014

Expiration Date

03/31/2015

City

LOVINGTON

State

Zip

61937

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/11/2015