DANIEL R WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051298838

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

WALLACE

Business Name

DANIEL R WALLACE

Original Issue Date

08/11/2015

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

WILDWOOD

State

Zip

63005

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/14/2022