Mitzi Camara Wallace
ExpiredIllinois license 049198340
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049198340
- Status
- Expired (Not Renewed)
- First issued
- May 13, 2010
- Expired
- March 31, 2012
- License holder
- Mitzi Camara Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/02/2011
Contact
Chicago, IL 60623
Cook County