VANESSA A WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161466

License Status

NOT RENEWED

Business

First Name

VANESSA

Middle

Last Name

WALLACE

Business Name

VANESSA A WALLACE

Original Issue Date

06/03/2005

Effective Date

06/03/2005

Expiration Date

03/31/2006

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Ever Disciplined

LastModifiedDate

05/11/2006