COLETTE M WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107773

License Status

NOT RENEWED

Business

First Name

COLETTE M

Last Name

WALLACE

Business Name

COLETTE M WALLACE

Original Issue Date

08/09/1994

Effective Date

08/09/1994

Expiration Date

03/31/1995

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005