TRACY M WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161755

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

WILSON

Business Name

TRACY M WILSON

Original Issue Date

06/17/2005

Effective Date

04/04/2011

Expiration Date

03/31/2012

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/07/2012