LAUREN A WALLACE - Pharmacist License in Illinois | # 049219916

LAUREN A WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219916

License Status

NOT RENEWED

Business

N

First Name

LAUREN

Middle

A

Last Name

WALLACE

Prefix

MR

Business Name

LAUREN A WALLACE

Original Issue Date

08/11/2013

Effective Date

08/11/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014