WAYNE W WILSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051018758

License Status

INACTIVE

Business

First Name

WAYNE W

Last Name

WILSON

Business Name

WAYNE W WILSON

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005