STACY L WALLACE - Pharmacist License in Illinois | # 049097615

STACY L WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097615

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005