DOMINIQUE FRANCOISE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196631

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

FRANCOISE

Last Name

WALLACE

Business Name

DOMINIQUE FRANCOISE WALLACE

Original Issue Date

02/04/2010

Effective Date

02/04/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011