MICA WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049312553

License Status

NOT RENEWED

Business

First Name

MICA

Last Name

WALLACE

Business Name

MICA WALLACE

Original Issue Date

05/24/2024

Effective Date

05/24/2024

Expiration Date

03/31/2025

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

07/08/2025