SHANTE YVONNE WILDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208768

License Status

NOT RENEWED

Business

First Name

SHANTE

Middle

YVONNE

Last Name

WILDER

Business Name

SHANTE YVONNE WILDER

Original Issue Date

01/18/2012

Effective Date

03/15/2017

Expiration Date

03/31/2018

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/19/2018