Jay E Wallace
ExpiredIllinois license 049115270
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049115270
- Status
- Expired (Not Renewed)
- First issued
- September 26, 1996
- Expired
- March 31, 1997
- License holder
- Jay E Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/26/1996
Contact
La Place, IL 61936
Piatt County