IYANIA N WALLACE - Pharmacist License in Illinois | # 049312945

IYANIA N WALLACE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049312945

License Status

NOT RENEWED

Business

N

First Name

IYANIA

Middle

N

Last Name

WALLACE

Business Name

IYANIA N WALLACE

Original Issue Date

06/11/2024

Effective Date

06/11/2024

Expiration Date

03/31/2025

State

IL

Ever Disciplined

N

LastModifiedDate

07/08/2025