SHALANDA WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049272728

License Status

NOT RENEWED

Business

First Name

SHALANDA

Last Name

WALLACE

Business Name

SHALANDA WALLACE

Original Issue Date

04/15/2020

Effective Date

04/15/2020

Expiration Date

03/31/2021

City

PEORIA

State

Zip

61605

County

ADAMS

Ever Disciplined

LastModifiedDate

07/20/2021