REKIA DEANGELLA WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049291055

License Status

NOT RENEWED

Business

First Name

REKIA

Middle

DEANGELLA

Last Name

WALLACE

Business Name

REKIA DEANGELLA WALLACE

Original Issue Date

03/01/2022

Effective Date

03/01/2022

Expiration Date

03/31/2023

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/07/2023