GREGORY L WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119039

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

WALLACE

Business Name

GREGORY L WALLACE

Original Issue Date

10/14/1997

Effective Date

10/14/1997

Expiration Date

03/31/1998

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005