James Russell Wallace
ExpiredIllinois license 049063536
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049063536
- Status
- Expired (Not Renewed)
- First issued
- May 23, 1975
- Expired
- January 1, 1997
- License holder
- James Russell Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/23/1975
Contact
Springfield, IL 62702
Sangamon County