COURTNEY BETH WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158793

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

BETH

Last Name

WALLACE

Business Name

COURTNEY BETH WALLACE

Original Issue Date

01/06/2005

Effective Date

01/06/2005

Expiration Date

03/31/2006

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

05/11/2006