MELVIN JASON WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227224

License Status

NOT RENEWED

Business

First Name

MELVIN

Middle

JASON

Last Name

WALLACE

Business Name

MELVIN JASON WALLACE

Original Issue Date

08/18/2014

Effective Date

03/26/2015

Expiration Date

03/31/2016

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016