MARTIN J WALLACE - Pharmacist License in Illinois | # 049120289

MARTIN J WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120289

License Status

NOT RENEWED

Business

N

First Name

MARTIN

Middle

J

Last Name

WALLACE

Business Name

MARTIN J WALLACE

Original Issue Date

03/17/1998

Effective Date

03/17/1998

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005