ERIC V WALLACE - Pharmacist License in Illinois | # 049182915

ERIC V WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182915

License Status

NOT RENEWED

Business

N

First Name

ERIC

Middle

V

Last Name

WALLACE

Business Name

ERIC V WALLACE

Original Issue Date

03/19/2008

Effective Date

03/19/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009