LAKISHIA D WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174130

License Status

NOT RENEWED

Business

First Name

LAKISHIA

Middle

Last Name

WALLACE

Business Name

LAKISHIA D WALLACE

Original Issue Date

02/02/2007

Effective Date

02/02/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008