ILLENE M WAHLSMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086939

License Status

NOT RENEWED

Business

First Name

ILLENE M

Last Name

WAHLSMITH

Business Name

ILLENE M WAHLSMITH

Original Issue Date

06/11/1988

Effective Date

06/11/1988

Expiration Date

03/31/1991

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005