CRYSTAL G WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219367

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

WALLACE

Prefix

Business Name

CRYSTAL G WALLACE

Original Issue Date

07/16/2013

Effective Date

02/25/2014

Expiration Date

03/31/2015

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

05/11/2015