C KEITH WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067631

License Status

NOT RENEWED

Business

First Name

C KEITH

Last Name

WILSON

Business Name

C KEITH WILSON

Original Issue Date

06/24/1977

Effective Date

06/24/1977

Expiration Date

03/31/1984

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/17/2005