ERIC V WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182915

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

WALLACE

Business Name

ERIC V WALLACE

Original Issue Date

03/19/2008

Effective Date

03/19/2008

Expiration Date

03/31/2009

City

BERKELEY

State

Zip

60163

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009