TRACI A WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108802

License Status

NOT RENEWED

Business

First Name

TRACI A

Last Name

WILSON

Business Name

TRACI A WILSON

Original Issue Date

11/14/1994

Effective Date

11/14/1994

Expiration Date

03/31/2002

City

CRETE

State

Zip

60417

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005