KEZRA WALLACE - Pharmacist License in Illinois | # 049209667

KEZRA WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209667

License Status

NOT RENEWED

Business

N

First Name

KEZRA

Last Name

WALLACE

Prefix

MR

Business Name

KEZRA WALLACE

Original Issue Date

03/11/2012

Effective Date

09/03/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021