ATIYAYEIN ASHLEY WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224353

License Status

NOT RENEWED

Business

First Name

ATIYAYEIN

Middle

ASHLEY

Last Name

WALLACE

Business Name

ATIYAYEIN ASHLEY WALLACE

Original Issue Date

04/07/2014

Effective Date

04/07/2014

Expiration Date

03/31/2015

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015