TOREE A WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216167

License Status

NOT RENEWED

Business

First Name

TOREE

Middle

Last Name

WALLACE

Business Name

TOREE A WALLACE

Original Issue Date

02/22/2013

Effective Date

02/22/2013

Expiration Date

03/31/2014

City

ROXANA

State

Zip

62084

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014