KALIE J WALLACE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225430

License Status

INACTIVE

Business

First Name

KALIE

Middle

Last Name

WALLACE

Business Name

KALIE J WALLACE

Original Issue Date

05/27/2014

Effective Date

05/27/2014

Expiration Date

03/31/2015

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/06/2015