WILLIE WALLACE - Pharmacist License in Illinois | # 049287609

WILLIE WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287609

License Status

NOT RENEWED

Business

N

First Name

WILLIE

Last Name

WALLACE

Business Name

WILLIE WALLACE

Original Issue Date

11/04/2021

Effective Date

11/04/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022