Marva Lee Wallace
ExpiredIllinois license 049125545
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049125545
- Status
- Expired (Not Renewed)
- First issued
- April 21, 1999
- Expired
- March 31, 2007
- License holder
- Marva Lee Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 01/19/2006
Contact
Glenwood, IL 60425
Cook County