LASHAVAN S WILSON - Pharmacist License in Illinois | # 049092467

LASHAVAN S WILSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092467

License Status

NOT RENEWED

Business

N

First Name

LASHAVAN S

Last Name

WILSON

Business Name

LASHAVAN S WILSON

Original Issue Date

03/17/1990

Effective Date

03/17/1990

Expiration Date

03/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005