MICA WALLACE - Pharmacist License in Illinois | # 049312553

MICA WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049312553

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2025