JONATHAN R WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231774

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

WALLACE

Business Name

JONATHAN R WALLACE

Original Issue Date

03/18/2015

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

05/20/2016