BREANNA ELISE WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259505

License Status

NOT RENEWED

Business

First Name

BREANNA

Middle

ELISE

Last Name

WILSON

Business Name

BREANNA ELISE WILSON

Original Issue Date

09/11/2018

Effective Date

09/11/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019