STEPHANIE WALLACE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049318012

License Status

ACTIVE

Business

First Name

STEPHANIE

Last Name

WALLACE

Business Name

STEPHANIE WALLACE

Original Issue Date

01/16/2025

Effective Date

01/16/2025

Expiration Date

03/31/2026

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

01/30/2026