WALLACE DANDRIDGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122179

License Status

NOT RENEWED

Business

First Name

WALLACE

Last Name

DANDRIDGE

Business Name

WALLACE DANDRIDGE

Original Issue Date

07/29/1998

Effective Date

07/29/1998

Expiration Date

03/31/2002

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

12/06/2005