LARA STEPHANIE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119644

License Status

NOT RENEWED

Business

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

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022