REBECCA SUE WILDMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132704

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

SUE

Last Name

WILDMAN

Business Name

REBECCA SUE WILDMAN

Original Issue Date

09/15/2000

Effective Date

09/15/2000

Expiration Date

03/31/2004

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/20/2005