CONSTANCE N DATES WILSON - Pharmacist License in Illinois | # 049192386

CONSTANCE N DATES WILSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192386

License Status

NOT RENEWED

Business

N

First Name

CONSTANCE

Middle

N

Last Name

DATES WILSON

Prefix

MR

Business Name

CONSTANCE N DATES WILSON

Original Issue Date

06/17/2009

Effective Date

06/17/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010