VANESSA A WALLACE - Pharmacist License in Illinois | # 049161466

VANESSA A WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161466

License Status

NOT RENEWED

Business

N

First Name

VANESSA

Middle

A

Last Name

WALLACE

Business Name

VANESSA A WALLACE

Original Issue Date

06/03/2005

Effective Date

06/03/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006