KASSY WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257375

License Status

NOT RENEWED

Business

First Name

KASSY

Last Name

WALLACE

Business Name

KASSY WALLACE

Original Issue Date

04/06/2018

Effective Date

04/06/2018

Expiration Date

03/31/2019

City

POLO

State

Zip

61064

County

OGLE

Ever Disciplined

LastModifiedDate

07/15/2019