RENEE M WALLACE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296253

License Status

ACTIVE

Business

First Name

RENEE

Middle

Last Name

WALLACE

Business Name

RENEE M WALLACE

Original Issue Date

09/25/2012

Effective Date

03/25/2024

Expiration Date

03/31/2026

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

01/30/2026