PHARAOH WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233427

License Status

NOT RENEWED

Business

First Name

PHARAOH

Last Name

WALLACE

Prefix

Business Name

PHARAOH WALLACE

Original Issue Date

05/31/2015

Effective Date

05/31/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016