WALLACE C DREIKOSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023711

License Status

NOT RENEWED

Business

First Name

WALLACE C

Last Name

DREIKOSEN

Business Name

WALLACE C DREIKOSEN

Original Issue Date

01/01/1997

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2008