MARK R WILSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058685

License Status

CANCELLED

Business

First Name

MARK R

Last Name

WILSON

Business Name

MARK R WILSON

Original Issue Date

11/04/1972

Effective Date

11/04/1972

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005