GAVIN MICHAEL WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269062

License Status

NOT RENEWED

Business

First Name

GAVIN

Middle

MICHAEL

Last Name

WILSON

Business Name

GAVIN MICHAEL WILSON

Original Issue Date

11/06/2019

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022