MITZI CAMARA WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198340

License Status

NOT RENEWED

Business

First Name

MITZI

Middle

CAMARA

Last Name

WALLACE

Business Name

MITZI CAMARA WALLACE

Original Issue Date

05/13/2010

Effective Date

05/02/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012