RITA A WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110790

License Status

NOT RENEWED

Business

First Name

RITA A

Last Name

WALLACE

Business Name

RITA A WALLACE

Original Issue Date

06/08/1995

Effective Date

06/08/1995

Expiration Date

03/31/2006

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/11/2006