JAMIE SERINITY WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273472

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

SERINITY

Last Name

WALLACE

Business Name

JAMIE SERINITY WALLACE

Original Issue Date

05/28/2020

Effective Date

05/28/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021