CRISTAL K WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241472

License Status

NOT RENEWED

Business

First Name

CRISTAL

Middle

Last Name

WALLACE

Business Name

CRISTAL K WALLACE

Original Issue Date

04/27/2016

Effective Date

04/27/2016

Expiration Date

03/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017