MARCUS ALLEN WALLACE - Pharmacist License in Illinois | # 049228585

MARCUS ALLEN WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228585

License Status

NOT RENEWED

Business

N

First Name

MARCUS

Middle

ALLEN

Last Name

WALLACE

Business Name

MARCUS ALLEN WALLACE

Original Issue Date

10/16/2014

Effective Date

03/27/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016