CORY SWANK WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195223

License Status

NOT RENEWED

Business

First Name

CORY

Last Name

SWANK WALLACE

Business Name

CORY SWANK WALLACE

Original Issue Date

11/09/2009

Effective Date

11/09/2009

Expiration Date

03/31/2010

City

LOUISVILLE

State

Zip

40291

County

KENTUCKY

Ever Disciplined

LastModifiedDate

05/04/2010