MATTHEW S WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209606

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

WALLACE

Business Name

MATTHEW S WALLACE

Original Issue Date

03/07/2012

Effective Date

03/07/2012

Expiration Date

03/31/2013

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013