CHARISSA JANE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073957

License Status

NOT RENEWED

Business

First Name

CHARISSA JANE

Last Name

WILSON

Business Name

CHARISSA JANE WILSON

Original Issue Date

11/21/1980

Effective Date

11/21/1980

Expiration Date

03/31/1984

City

MARQUETTE HEIGHTS

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005