CONSTANCE N DATES WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192386

License Status

NOT RENEWED

Business

First Name

CONSTANCE

Middle

Last Name

DATES WILSON

Prefix

Business Name

CONSTANCE N DATES WILSON

Original Issue Date

06/17/2009

Effective Date

06/17/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010