NATAVIA WILSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286873

License Status

NOT RENEWED

Business

First Name

NATAVIA

Last Name

WILSON

Business Name

NATAVIA WILSON

Original Issue Date

10/23/2021

Effective Date

10/23/2021

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022