LYNNE A WILTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072102

License Status

NOT RENEWED

Business

First Name

LYNNE A

Last Name

WILTS

Business Name

LYNNE A WILTS

Original Issue Date

11/01/1979

Effective Date

11/01/1979

Expiration Date

01/01/1997

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005