JEROME ALLEN WALLACE JR - Pharmacist License in Wisconsin | # 049145186

JEROME ALLEN WALLACE JR

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145186

License Status

ACTIVE

Business

N

First Name

JEROME

Middle

ALLEN

Last Name

WALLACE

Suffix

JR

Business Name

JEROME ALLEN WALLACE JR

Original Issue Date

10/09/2002

Effective Date

02/01/2026

Expiration Date

03/31/2027

State

WI

Ever Disciplined

N

LastModifiedDate

02/01/2026