ASHLEY NICOLE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247452

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

NICOLE

Last Name

WALLACE

Business Name

ASHLEY NICOLE WALLACE

Original Issue Date

12/29/2016

Effective Date

01/30/2017

Expiration Date

03/31/2018

City

CREST HILL

State

Zip

60403

County

WILL

Ever Disciplined

LastModifiedDate

06/19/2018