SARAH ELIZABETH WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118219

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

ELIZABETH

Last Name

WALLACE

Business Name

SARAH ELIZABETH WALLACE

Original Issue Date

07/22/1997

Effective Date

07/22/1997

Expiration Date

03/31/2005

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005