JACKIE LYNN WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180222

License Status

NOT RENEWED

Business

First Name

JACKIE

Middle

LYNN

Last Name

WILSON

Business Name

JACKIE LYNN WILSON

Original Issue Date

10/29/2007

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022