SHAWN A WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215924

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

WALLACE

Business Name

SHAWN A WALLACE

Original Issue Date

02/07/2013

Effective Date

02/07/2013

Expiration Date

03/31/2014

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014