BETTIE L WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145656

License Status

NOT RENEWED

Business

First Name

BETTIE

Middle

Last Name

WALLACE

Business Name

BETTIE L WALLACE

Original Issue Date

11/04/2002

Effective Date

11/04/2002

Expiration Date

03/31/2004

City

MARKHAM

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005