MATTHEW S WALLACE - Pharmacist License in Illinois | # 049209606

MATTHEW S WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209606

License Status

NOT RENEWED

Business

N

First Name

MATTHEW

Middle

S

Last Name

WALLACE

Business Name

MATTHEW S WALLACE

Original Issue Date

03/07/2012

Effective Date

03/07/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013