WILLIE WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287609

License Status

NOT RENEWED

Business

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

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022