LAURA WALLACE - Pharmacist License in Illinois | # 049160063

LAURA WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160063

License Status

NOT RENEWED

Business

N

First Name

LAURA

Last Name

WALLACE

Business Name

LAURA WALLACE

Original Issue Date

04/11/2005

Effective Date

01/04/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021