ALICIA N WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174901

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

Last Name

WALLACE

Business Name

ALICIA N WALLACE

Original Issue Date

03/15/2007

Effective Date

03/15/2007

Expiration Date

03/31/2008

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/02/2008