TINA M WILDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125967

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

WILDER

Business Name

TINA M WILDER

Original Issue Date

05/20/1999

Effective Date

05/20/1999

Expiration Date

03/31/2001

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005