Mica L Wallace
ExpiredIllinois license 049095426
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049095426
- Status
- Expired (Not Renewed)
- First issued
- December 21, 1990
- Expired
- March 31, 2014
- License holder
- Mica L Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/19/2013
Contact
Lansing, IL 60438
Cook County