STEPHEN J WILD Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069385

License Status

CANCELLED

Business

First Name

STEPHEN J

Last Name

WILD

Business Name

STEPHEN J WILD

Original Issue Date

05/19/1978

Effective Date

05/19/1978

Expiration Date

01/01/1997

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005