ROBERT F WALLACE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177573

License Status

INACTIVE

Business

First Name

ROBERT

Middle

Last Name

WALLACE

Business Name

ROBERT F WALLACE

Original Issue Date

07/05/2007

Effective Date

02/02/2009

Expiration Date

03/31/2010

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/12/2010