Colette M Wallace
ExpiredIllinois license 049107773
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049107773
- Status
- Expired (Not Renewed)
- First issued
- August 9, 1994
- Expired
- March 31, 1995
- License holder
- Colette M Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 08/09/1994
Contact
St Joseph, IL 61873
Champaign County