THERESA LYNN WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132467

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

LYNN

Last Name

WILSON

Business Name

THERESA LYNN WILSON

Original Issue Date

08/31/2000

Effective Date

08/31/2000

Expiration Date

03/31/2002

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/06/2005