WALLACE J CROSS III Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028621

License Status

INACTIVE

Business

First Name

WALLACE J

Last Name

CROSS III

Business Name

WALLACE J CROSS III

Original Issue Date

01/01/1997

Expiration Date

03/31/1998

City

INDIAN HEAD PARK

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005