DWYANE C WILBORN - Pharmacist License in Illinois | # 049172288

DWYANE C WILBORN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172288

License Status

NOT RENEWED

Business

N

First Name

DWYANE

Middle

C

Last Name

WILBORN

Business Name

DWYANE C WILBORN

Original Issue Date

11/01/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008