LORENA D WALLACE - Pharmacist License in Illinois | # 049080600

LORENA D WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080600

License Status

NOT RENEWED

Business

N

First Name

LORENA D

Last Name

WALLACE

Business Name

LORENA D WALLACE

Original Issue Date

01/21/1985

Effective Date

01/21/1985

Expiration Date

03/31/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005