Thomas Martin Wallace
ExpiredIllinois license 049132253
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049132253
- Status
- Expired (Not Renewed)
- First issued
- August 17, 2000
- Expired
- March 31, 2002
- License holder
- Thomas Martin Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/17/2000
Contact
Springfield, IL 62704
Sangamon County