DESTINY WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271091

License Status

NOT RENEWED

Business

First Name

DESTINY

Last Name

WALLACE

Business Name

DESTINY WALLACE

Original Issue Date

02/20/2020

Effective Date

02/22/2021

Expiration Date

05/31/2022

City

ROCHESTER

State

Zip

62563

County

ADAMS

Ever Disciplined

LastModifiedDate

07/27/2022