DION TIRA WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207895

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014