HENRY JAMES WALLACE - Pharmacist License in Illinois | # 049163677

HENRY JAMES WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163677

License Status

NOT RENEWED

Business

N

First Name

HENRY

Middle

JAMES

Last Name

WALLACE

Business Name

HENRY JAMES WALLACE

Original Issue Date

09/08/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008