JENNIFER L WALLACE - Pharmacist License in Illinois | # 049208700

JENNIFER L WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208700

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

L

Last Name

WALLACE

Prefix

MR

Business Name

JENNIFER L WALLACE

Original Issue Date

01/13/2012

Effective Date

01/13/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013