TAKISHA MONIQUE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165084

License Status

NOT RENEWED

Business

First Name

TAKISHA

Middle

MONIQUE

Last Name

WILSON

Business Name

TAKISHA MONIQUE WILSON

Original Issue Date

11/18/2005

Effective Date

08/15/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009