JAMIE N WALLACE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195246

License Status

INACTIVE

Business

First Name

JAMIE

Middle

Last Name

WALLACE

Business Name

JAMIE N WALLACE

Original Issue Date

11/09/2009

Effective Date

11/09/2009

Expiration Date

03/31/2010

City

HILLSBORO

State

Zip

63050

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/12/2010