RENEE M WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185003

License Status

NOT RENEWED

Business

First Name

RENEE

Middle

Last Name

WALLACE

Business Name

RENEE M WALLACE

Original Issue Date

06/17/2008

Effective Date

06/21/2012

Expiration Date

03/31/2013

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2013