ANTOINETTE DOLORES WALLACE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051305082

License Status

ACTIVE

Business

First Name

ANTOINETTE

Middle

DOLORES

Last Name

WALLACE

Business Name

ANTOINETTE DOLORES WALLACE

Original Issue Date

09/20/2022

Effective Date

07/01/2024

Expiration Date

03/31/2026

City

RAHWAY

State

Zip

07065

Ever Disciplined

LastModifiedDate

01/30/2026