KEZRA WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209667

License Status

NOT RENEWED

Business

First Name

KEZRA

Last Name

WALLACE

Prefix

Business Name

KEZRA WALLACE

Original Issue Date

03/11/2012

Effective Date

09/03/2020

Expiration Date

03/31/2021

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

07/20/2021