STEPHANIE SHARELLE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210686

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

SHARELLE

Last Name

WALLACE

Business Name

STEPHANIE SHARELLE WALLACE

Original Issue Date

04/30/2012

Effective Date

04/30/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013