ALLISON RENE WILDERMUTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243756

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

RENE

Last Name

WILDERMUTH

Business Name

ALLISON RENE WILDERMUTH

Original Issue Date

08/03/2016

Effective Date

03/16/2017

Expiration Date

03/31/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/19/2018