MARCUS ALLEN WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228585

License Status

NOT RENEWED

Business

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

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016