SHANISE M WALLACE - Pharmacist License in Illinois | # 051299626

SHANISE M WALLACE

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051299626

License Status

ACTIVE

Business

N

First Name

SHANISE

Middle

M

Last Name

WALLACE

Prefix

MR

Business Name

SHANISE M WALLACE

Original Issue Date

07/29/2016

Effective Date

03/29/2026

Expiration Date

03/31/2028

State

IL

Ever Disciplined

N

LastModifiedDate

03/29/2026