DESARAE WALLACE - Pharmacist License in Illinois | # 049239934

DESARAE WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239934

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017