LAQUON WALLACE JAMES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255285

License Status

NOT RENEWED

Business

First Name

LAQUON

Middle

WALLACE

Last Name

JAMES

Business Name

LAQUON WALLACE JAMES

Original Issue Date

01/03/2018

Effective Date

01/03/2018

Expiration Date

03/31/2019

City

HAMMOND

State

Zip

46324

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019