GAIL M WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219115

License Status

NOT RENEWED

Business

First Name

GAIL

Middle

Last Name

WALLACE

Business Name

GAIL M WALLACE

Original Issue Date

07/02/2013

Effective Date

02/24/2014

Expiration Date

03/31/2015

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2015