LASHAVAN S WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092467

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005