CLIFFORD G WALLACE - Pharmacist License in Illinois | # 051025489

CLIFFORD G WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025489

License Status

NOT RENEWED

Business

N

First Name

CLIFFORD G

Last Name

WALLACE

Business Name

CLIFFORD G WALLACE

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005