ANA MARIA WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069062

License Status

NOT RENEWED

Business

First Name

ANA MARIA

Last Name

WALLACE

Business Name

ANA MARIA WALLACE

Original Issue Date

03/24/1978

Effective Date

03/24/1978

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005