KELLY S. M. WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274151

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

S. M.

Last Name

WILSON

Business Name

KELLY S. M. WILSON

Original Issue Date

07/07/2020

Effective Date

03/04/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022