MARCY RAEANN WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114445

License Status

NOT RENEWED

Business

First Name

MARCY RAEANN

Last Name

WILSON

Business Name

MARCY RAEANN WILSON

Original Issue Date

06/18/1996

Effective Date

06/18/1996

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005