AMANDA IRENE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248069

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

IRENE

Last Name

WALLACE

Business Name

AMANDA IRENE WALLACE

Original Issue Date

01/26/2017

Effective Date

01/26/2017

Expiration Date

03/31/2018

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018