Kathleen Ann Wallace
ExpiredIllinois license 049204902
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049204902
- Status
- Expired (Not Renewed)
- First issued
- June 21, 2011
- Expired
- March 31, 2012
- License holder
- Kathleen Ann Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/21/2011
Contact
Davenport, IA 52806
Iowa County