Shawntae Renae Wallace
ExpiredIllinois license 049289596
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049289596
- Status
- Expired (Not Renewed)
- First issued
- January 13, 2022
- Expired
- March 31, 2024
- License holder
- Shawntae Renae Wallace
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/13/2023
Contact
Chicago, IL 60617
Cook County