GRACE ELIZABETH WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265099

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

ELIZABETH

Last Name

WILSON

Business Name

GRACE ELIZABETH WILSON

Original Issue Date

05/03/2019

Effective Date

05/03/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021