SHEREECE NICHOLE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172702

License Status

NOT RENEWED

Business

First Name

SHEREECE

Middle

NICHOLE

Last Name

WALLACE

Business Name

SHEREECE NICHOLE WALLACE

Original Issue Date

11/20/2006

Effective Date

04/02/2012

Expiration Date

03/31/2013

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2013