ANGEL RENEE WILDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137124

License Status

NOT RENEWED

Business

First Name

ANGEL

Middle

RENEE

Last Name

WILDER

Business Name

ANGEL RENEE WILDER

Original Issue Date

07/05/2001

Effective Date

07/05/2001

Expiration Date

03/31/2002

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005