JENNIFER L WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208700

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

WALLACE

Prefix

Business Name

JENNIFER L WALLACE

Original Issue Date

01/13/2012

Effective Date

01/13/2012

Expiration Date

03/31/2013

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2013