DEBORAH K WALLACE - Pharmacist License in Illinois | # 049138974

DEBORAH K WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138974

License Status

NOT RENEWED

Business

N

First Name

DEBORAH

Middle

K

Last Name

WALLACE

Business Name

DEBORAH K WALLACE

Original Issue Date

11/01/2001

Effective Date

11/01/2001

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005