SHANISE M WALLACE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299626

License Status

ACTIVE

Business

First Name

SHANISE

Middle

Last Name

WALLACE

Prefix

Business Name

SHANISE M WALLACE

Original Issue Date

07/29/2016

Effective Date

03/31/2024

Expiration Date

03/31/2026

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

01/30/2026