STACY L WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097615

License Status

NOT RENEWED

Business

First Name

STACY L

Last Name

WALLACE

Business Name

STACY L WALLACE

Original Issue Date

07/30/1991

Effective Date

07/30/1991

Expiration Date

03/31/1994

City

ALSIP

State

Zip

60658

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005