BRENDA A WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111711

License Status

NOT RENEWED

Business

First Name

BRENDA A

Last Name

WALLACE

Business Name

BRENDA A WALLACE

Original Issue Date

09/13/1995

Effective Date

10/27/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010