JADE T WALLACE - Pharmacist License in Illinois | # 049277241

JADE T WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277241

License Status

NOT RENEWED

Business

N

First Name

JADE

Middle

T

Last Name

WALLACE

Business Name

JADE T WALLACE

Original Issue Date

11/06/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022