NICHOLAS SCOTT WALLACE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280143

License Status

ACTIVE

Business

First Name

NICHOLAS

Middle

SCOTT

Last Name

WALLACE

Business Name

NICHOLAS SCOTT WALLACE

Original Issue Date

03/05/2021

Effective Date

03/24/2026

Expiration Date

03/31/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/24/2026