TIFFANY J WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179744

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

WILSON

Business Name

TIFFANY J WILSON

Original Issue Date

10/04/2007

Effective Date

10/04/2007

Expiration Date

03/31/2008

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008