ELISE M WILDMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205735

License Status

NOT RENEWED

Business

First Name

ELISE

Middle

Last Name

WILDMAN

Business Name

ELISE M WILDMAN

Original Issue Date

08/01/2011

Effective Date

02/01/2015

Expiration Date

03/31/2016

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

05/20/2016