SUSAN JANE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061760

License Status

NOT RENEWED

Business

First Name

SUSAN JANE

Last Name

WILSON

Business Name

SUSAN JANE WILSON

Original Issue Date

06/21/1974

Effective Date

06/21/1974

Expiration Date

01/01/1997

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

10/17/2005