PAMELA JEAN WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122639

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

JEAN

Last Name

WALLACE

Business Name

PAMELA JEAN WALLACE

Original Issue Date

08/31/1998

Effective Date

03/16/2020

Expiration Date

03/31/2021

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

07/20/2021