LAURA ANN WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146750

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

ANN

Last Name

WALLACE

Business Name

LAURA ANN WALLACE

Original Issue Date

01/14/2003

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

07/20/2021