SAMMY L WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057745

License Status

NOT RENEWED

Business

First Name

SAMMY L

Last Name

WILSON

Business Name

SAMMY L WILSON

Original Issue Date

05/16/1972

Effective Date

05/16/1972

Expiration Date

01/01/1997

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005