JEROME ALLEN WALLACE JR Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145186

License Status

ACTIVE

Business

First Name

JEROME

Middle

ALLEN

Last Name

WALLACE

Suffix

Business Name

JEROME ALLEN WALLACE JR

Original Issue Date

10/09/2002

Effective Date

02/01/2026

Expiration Date

03/31/2027

City

KENOSHA

State

Zip

53143

Ever Disciplined

LastModifiedDate

02/01/2026