RAVEN LYNN WILKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049305613

License Status

NOT RENEWED

Business

First Name

RAVEN

Middle

LYNN

Last Name

WILKS

Business Name

RAVEN LYNN WILKS

Original Issue Date

09/07/2023

Effective Date

09/07/2023

Expiration Date

03/31/2024

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/03/2025