NATASHA WALLACE - Pharmacist License in Illinois | # 049199186

NATASHA WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199186

License Status

NOT RENEWED

Business

N

First Name

NATASHA

Last Name

WALLACE

Business Name

NATASHA WALLACE

Original Issue Date

07/04/2010

Effective Date

03/09/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016