PETER WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146098

License Status

NOT RENEWED

Business

First Name

PETER

Last Name

WALLACE

Business Name

PETER WALLACE

Original Issue Date

11/25/2002

Effective Date

02/18/2021

Expiration Date

05/31/2022

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022