DWYANE C WILBORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172288

License Status

NOT RENEWED

Business

First Name

DWYANE

Middle

Last Name

WILBORN

Business Name

DWYANE C WILBORN

Original Issue Date

11/01/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008