TYLER DAVID WALLACE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265327

License Status

ACTIVE

Business

First Name

TYLER

Middle

DAVID

Last Name

WALLACE

Business Name

TYLER DAVID WALLACE

Original Issue Date

05/15/2019

Effective Date

02/02/2026

Expiration Date

03/31/2027

City

MARSHALL

State

Zip

62441

County

CLARK

Ever Disciplined

LastModifiedDate

02/02/2026