MARTIN J WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120289

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

Last Name

WALLACE

Business Name

MARTIN J WALLACE

Original Issue Date

03/17/1998

Effective Date

03/17/1998

Expiration Date

03/31/2000

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005