MARVA LEE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125545

License Status

NOT RENEWED

Business

First Name

MARVA

Middle

LEE

Last Name

WALLACE

Business Name

MARVA LEE WALLACE

Original Issue Date

04/21/1999

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007