DEBORAH K WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138974

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

Last Name

WALLACE

Business Name

DEBORAH K WALLACE

Original Issue Date

11/01/2001

Effective Date

11/01/2001

Expiration Date

03/31/2002

City

ROSICLARE

State

Zip

62982

County

HARDIN

Ever Disciplined

LastModifiedDate

12/06/2005