SHANET LAVONNE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132461

License Status

NOT RENEWED

Business

First Name

SHANET

Middle

LAVONNE

Last Name

WILSON

Business Name

SHANET LAVONNE WILSON

Original Issue Date

08/31/2000

Effective Date

08/31/2000

Expiration Date

03/31/2002

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005