LAURA JOANNE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153594

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

JOANNE

Last Name

WILSON

Business Name

LAURA JOANNE WILSON

Original Issue Date

03/11/2004

Effective Date

03/11/2004

Expiration Date

03/31/2006

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006