KENNIS HAL WALLACE JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028035

License Status

NOT RENEWED

Business

First Name

KENNIS

Middle

HAL

Last Name

WALLACE

Suffix

Business Name

KENNIS HAL WALLACE JR

Original Issue Date

01/01/1997

Effective Date

02/28/2020

Expiration Date

07/31/2022

City

GALATIA

State

Zip

62935

County

SALINE

Ever Disciplined

LastModifiedDate

10/14/2022

Case Number

1988001148

Action

Probation

Discipline Start Date

05/23/1989

Discipline End Date

05/22/1992