DION TIRA WALLACE - Pharmacist License in Illinois | # 049207895

DION TIRA WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207895

License Status

NOT RENEWED

Business

N

First Name

DION

Middle

TIRA

Last Name

WALLACE

Business Name

DION TIRA WALLACE

Original Issue Date

11/18/2011

Effective Date

04/11/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014