GREGORY L WALLACE - Pharmacist License in Illinois | # 049119039

GREGORY L WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119039

License Status

NOT RENEWED

Business

N

First Name

GREGORY

Middle

L

Last Name

WALLACE

Business Name

GREGORY L WALLACE

Original Issue Date

10/14/1997

Effective Date

10/14/1997

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005