BRENDA M WALLACE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164214

License Status

ACTIVE

Business

First Name

BRENDA

Middle

Last Name

WALLACE

Business Name

BRENDA M WALLACE

Original Issue Date

09/27/2005

Effective Date

02/01/2026

Expiration Date

03/31/2027

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/01/2026