AMANDA SUE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163621

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

SUE

Last Name

WILSON

Business Name

AMANDA SUE WILSON

Original Issue Date

09/07/2005

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/12/2011