Susan Kay Wallace
ExpiredIllinois license 049114142
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049114142
- Status
- Expired (Not Renewed)
- First issued
- May 2, 1996
- Expired
- March 31, 2016
- License holder
- Susan Kay Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 02/20/2015
Contact
Pekin, IL 61554
Tazewell County