ADDISON MICHELLE WALLACE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049285617

License Status

ACTIVE

Business

First Name

ADDISON

Middle

MICHELLE

Last Name

WALLACE

Business Name

ADDISON MICHELLE WALLACE

Original Issue Date

09/20/2021

Effective Date

03/30/2025

Expiration Date

03/31/2026

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

01/30/2026