BELINDA ELAINE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156596

License Status

NOT RENEWED

Business

First Name

BELINDA

Middle

ELAINE

Last Name

WALLACE

Business Name

BELINDA ELAINE WALLACE

Original Issue Date

08/12/2004

Effective Date

08/12/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005