TERESA M WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107777

License Status

NOT RENEWED

Business

First Name

TERESA M

Last Name

WALLACE

Business Name

TERESA M WALLACE

Original Issue Date

08/09/1994

Effective Date

08/09/1994

Expiration Date

03/31/1996

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005