TRISTA WALLACE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049305486

License Status

NOT RENEWED

Business

First Name

TRISTA

Last Name

WALLACE

Business Name

TRISTA WALLACE

Original Issue Date

08/31/2023

Effective Date

03/07/2024

Expiration Date

03/31/2025

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

07/08/2025