SARAH MELISSA WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152555

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

MELISSA

Last Name

WALLACE

Business Name

SARAH MELISSA WALLACE

Original Issue Date

12/17/2003

Effective Date

12/17/2003

Expiration Date

03/31/2005

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005