DESARAE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239934

License Status

NOT RENEWED

Business

First Name

DESARAE

Last Name

WALLACE

Business Name

DESARAE WALLACE

Original Issue Date

03/04/2016

Effective Date

03/04/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017