STANLEY MICHAEL WALLACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126049

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

MICHAEL

Last Name

WALLACH

Business Name

STANLEY MICHAEL WALLACH

Original Issue Date

05/24/1999

Effective Date

04/01/2009

Expiration Date

03/31/2010

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/04/2010