ALICIA N WALLACE - Pharmacist License in Illinois | # 049174901

ALICIA N WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174901

License Status

NOT RENEWED

Business

N

First Name

ALICIA

Middle

N

Last Name

WALLACE

Business Name

ALICIA N WALLACE

Original Issue Date

03/15/2007

Effective Date

03/15/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008