LEZLEY GIANNA WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208157

License Status

NOT RENEWED

Business

First Name

LEZLEY

Middle

GIANNA

Last Name

WALLACE

Prefix

Business Name

LEZLEY GIANNA WALLACE

Original Issue Date

12/07/2011

Effective Date

03/03/2017

Expiration Date

03/31/2018

City

LOMBARD

State

Zip

60148

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018