Kenneth E Wallace
ExpiredIllinois license 049064688
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049064688
- Status
- Expired (Not Renewed)
- First issued
- January 2, 1976
- Expired
- March 31, 1992
- License holder
- Kenneth E Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/02/1976
Contact
Elmhurst, IL 60126
Dupage County