MARY CATHERINE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245782

License Status

NOT RENEWED

Business

First Name

MARY

Middle

CATHERINE

Last Name

WALLACE

Business Name

MARY CATHERINE WALLACE

Original Issue Date

10/26/2016

Effective Date

03/03/2017

Expiration Date

03/31/2018

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

06/19/2018