TYLER D WALLACE - Pharmacist License in Illinois | # 049259660

TYLER D WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259660

License Status

NOT RENEWED

Business

N

First Name

TYLER

Middle

D

Last Name

WALLACE

Business Name

TYLER D WALLACE

Original Issue Date

09/19/2018

Effective Date

09/19/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019