CYNTHIA RENEE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127646

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

RENEE

Last Name

WALLACE

Business Name

CYNTHIA RENEE WALLACE

Original Issue Date

09/23/1999

Effective Date

09/23/1999

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005