LATASHA D WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183366

License Status

NOT RENEWED

Business

First Name

LATASHA

Middle

Last Name

WALLACE

Prefix

Business Name

LATASHA D WALLACE

Original Issue Date

04/06/2008

Effective Date

04/06/2008

Expiration Date

03/31/2009

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009