DOMINIQUE DANIELLE WILSON - Pharmacist License in Illinois | # 049196957

DOMINIQUE DANIELLE WILSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196957

License Status

NOT RENEWED

Business

N

First Name

DOMINIQUE

Middle

DANIELLE

Last Name

WILSON

Business Name

DOMINIQUE DANIELLE WILSON

Original Issue Date

02/24/2010

Effective Date

02/24/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011