Raven L Wallace
ExpiredIllinois license 049202013
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049202013
- Status
- Expired (Not Renewed)
- First issued
- December 18, 2010
- Expired
- March 31, 2011
- License holder
- Raven L Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 12/18/2010
Contact
Glenwood, IL 60425
Cook County