KRISTINE MICHELLE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146096

License Status

NOT RENEWED

Business

First Name

KRISTINE

Middle

MICHELLE

Last Name

WILSON

Business Name

KRISTINE MICHELLE WILSON

Original Issue Date

11/25/2002

Effective Date

11/25/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005