LARA STEPHANIE WILSON - Pharmacist License in Illinois | # 049119644

LARA STEPHANIE WILSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119644

License Status

NOT RENEWED

Business

N

First Name

LARA

Middle

STEPHANIE

Last Name

WILSON

Business Name

LARA STEPHANIE WILSON

Original Issue Date

12/19/1997

Effective Date

02/09/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022