DOUGLAS EDWARD WILSON JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158343

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

EDWARD

Last Name

WILSON

Suffix

Business Name

DOUGLAS EDWARD WILSON JR

Original Issue Date

12/15/2004

Effective Date

02/14/2011

Expiration Date

03/31/2012

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/07/2012