JONATHAN R WALLACE - Pharmacist License in Illinois | # 049231774

JONATHAN R WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231774

License Status

NOT RENEWED

Business

N

First Name

JONATHAN

Middle

R

Last Name

WALLACE

Business Name

JONATHAN R WALLACE

Original Issue Date

03/18/2015

Effective Date

03/18/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016