PHARAOH WALLACE - Pharmacist License in Illinois | # 049233427

PHARAOH WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233427

License Status

NOT RENEWED

Business

N

First Name

PHARAOH

Last Name

WALLACE

Prefix

MR

Business Name

PHARAOH WALLACE

Original Issue Date

05/31/2015

Effective Date

05/31/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016