DYLAN ELIJAH WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225939

License Status

NOT RENEWED

Business

First Name

DYLAN

Middle

ELIJAH

Last Name

WALLACE

Business Name

DYLAN ELIJAH WALLACE

Original Issue Date

06/16/2014

Effective Date

06/16/2014

Expiration Date

03/31/2015

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015