LORENZ TATE WILSON - Pharmacist License in Illinois | # 049256458

LORENZ TATE WILSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256458

License Status

NOT RENEWED

Business

N

First Name

LORENZ

Middle

TATE

Last Name

WILSON

Business Name

LORENZ TATE WILSON

Original Issue Date

03/01/2018

Effective Date

03/01/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019