HENRY JAMES WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163677

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008