SAMUEL MICAH WILKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159424

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

MICAH

Last Name

WILKERSON

Business Name

SAMUEL MICAH WILKERSON

Original Issue Date

03/01/2005

Effective Date

03/01/2005

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006