NICOLE LYNN WALLACE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049290929

License Status

ACTIVE

Business

First Name

NICOLE

Middle

LYNN

Last Name

WALLACE

Business Name

NICOLE LYNN WALLACE

Original Issue Date

02/25/2022

Effective Date

03/13/2026

Expiration Date

03/31/2027

City

CHICAGO

State

Zip

60626

Ever Disciplined

LastModifiedDate

03/13/2026