Kimberly Renee Wallace
ExpiredIllinois license 049131352
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049131352
- Status
- Expired (Not Renewed)
- First issued
- June 26, 2000
- Expired
- March 31, 2004
- License holder
- Kimberly Renee Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/26/2000
Contact
Sullivan, IL 61951
Moultrie County