BRIANNA M WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241787

License Status

NOT RENEWED

Business

First Name

BRIANNA

Middle

Last Name

WALLACE

Business Name

BRIANNA M WALLACE

Original Issue Date

05/11/2016

Effective Date

01/28/2019

Expiration Date

09/30/2020

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2022