ELLEN CROOKS WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076491

License Status

NOT RENEWED

Business

First Name

ELLEN CROOKS

Last Name

WILSON

Business Name

ELLEN CROOKS WILSON

Original Issue Date

06/02/1982

Effective Date

06/02/1982

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005