KASSANDRA A WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207152

License Status

NOT RENEWED

Business

First Name

KASSANDRA

Middle

Last Name

WILSON

Prefix

Business Name

KASSANDRA A WILSON

Original Issue Date

10/06/2011

Effective Date

10/06/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012