TYLER D WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259660

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

Last Name

WALLACE

Business Name

TYLER D WALLACE

Original Issue Date

09/19/2018

Effective Date

09/19/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019