Pharmacist
LICENSED CONTROLLED PHARMACY SUBSTANCE
32*****84
CLOSED
Y
WALLACE PLAZA PHARMACY
01/01/1997
02/08/2006
03/31/2008
HARRISBURG
IL
62946
SALINE
Hospital/Clinic
II III IV V
03/23/2006
1988001148
Probation
08/18/1989
08/17/1991