SHANE WILSON Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051301839

License Status

ACTIVE

Business

First Name

SHANE

Last Name

WILSON

Business Name

SHANE WILSON

Original Issue Date

12/17/2018

Effective Date

02/14/2026

Expiration Date

03/31/2028

City

SPRINGFIELD

State

Zip

19064

Ever Disciplined

LastModifiedDate

02/14/2026