SUSAN MARIE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058078

License Status

NOT RENEWED

Business

First Name

SUSAN MARIE

Last Name

WILSON

Business Name

SUSAN MARIE WILSON

Original Issue Date

07/08/1972

Effective Date

07/08/1972

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005