KEITH A WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162671

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

WILSON

Business Name

KEITH A WILSON

Original Issue Date

08/02/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009