VICTORIA R WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251033

License Status

NOT RENEWED

Business

First Name

VICTORIA

Middle

Last Name

WALLACE

Business Name

VICTORIA R WALLACE

Original Issue Date

06/05/2017

Effective Date

06/05/2017

Expiration Date

03/31/2018

City

TISKILWA

State

Zip

61368

County

BUREAU

Ever Disciplined

LastModifiedDate

06/19/2018