ANA MARIA WALLACE - Pharmacist License in Illinois | # 049069062

ANA MARIA WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069062

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005