KALEB XAVIER WALLACE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049318117

License Status

ACTIVE

Business

First Name

KALEB

Middle

XAVIER

Last Name

WALLACE

Business Name

KALEB XAVIER WALLACE

Original Issue Date

01/23/2025

Effective Date

01/23/2025

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60639

Ever Disciplined

LastModifiedDate

01/30/2026