LORENZ TATE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256458

License Status

NOT RENEWED

Business

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

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

07/15/2019