KEVIN LAMAR WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104567

License Status

NOT RENEWED

Business

First Name

KEVIN LAMAR

Last Name

WILSON

Business Name

KEVIN LAMAR WILSON

Original Issue Date

09/21/1993

Effective Date

09/21/1993

Expiration Date

03/31/1995

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005