ANNIE MARIE WALLACE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049315510

License Status

ACTIVE

Business

First Name

ANNIE

Middle

MARIE

Last Name

WALLACE

Business Name

ANNIE MARIE WALLACE

Original Issue Date

09/27/2024

Effective Date

03/20/2026

Expiration Date

03/31/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

03/20/2026