CORBIN WILLIAM WILDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277748

License Status

NOT RENEWED

Business

First Name

CORBIN

Middle

WILLIAM

Last Name

WILDER

Business Name

CORBIN WILLIAM WILDER

Original Issue Date

12/03/2020

Effective Date

03/05/2021

Expiration Date

05/31/2022

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/27/2022