Lorena D Wallace
ExpiredIllinois license 049080600
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049080600
- Status
- Expired (Not Renewed)
- First issued
- January 21, 1985
- Expired
- March 31, 1986
- License holder
- Lorena D Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/21/1985
Contact
Des Plaines, IL 60016
Cook County