JOHN MARK WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286898

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MARK

Last Name

WALLACE

Business Name

JOHN MARK WALLACE

Original Issue Date

10/16/1998

Effective Date

10/16/1998

Expiration Date

03/31/2000

City

SANDY

State

Zip

84093

County

UTAH

Ever Disciplined

LastModifiedDate

12/06/2005