VALERIE MARIE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160223

License Status

NOT RENEWED

Business

First Name

VALERIE

Middle

MARIE

Last Name

WALLACE

Business Name

VALERIE MARIE WALLACE

Original Issue Date

04/14/2005

Effective Date

03/09/2011

Expiration Date

03/31/2012

City

BLUE ISLAND

State

Zip

60406

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012