SHANTE LATRICE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231390

License Status

NOT RENEWED

Business

First Name

SHANTE

Middle

LATRICE

Last Name

WILSON

Business Name

SHANTE LATRICE WILSON

Original Issue Date

02/27/2015

Effective Date

03/10/2017

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018