STACETTA L WALLACE-KIMBLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190826

License Status

NOT RENEWED

Business

First Name

STACETTA

Middle

Last Name

WALLACE-KIMBLE

Business Name

STACETTA L WALLACE-KIMBLE

Original Issue Date

04/07/2009

Effective Date

02/23/2024

Expiration Date

03/31/2025

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/08/2025