LARYSA TARASHEVSKA WICKMAN - Pharmacist License in Michigan | # 049138456

LARYSA TARASHEVSKA WICKMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138456

License Status

NOT RENEWED

Business

N

First Name

LARYSA

Middle

TARASHEVSKA

Last Name

WICKMAN

Business Name

LARYSA TARASHEVSKA WICKMAN

Original Issue Date

09/25/2001

Effective Date

09/25/2001

Expiration Date

03/31/2002

State

MI

Ever Disciplined

N

LastModifiedDate

12/06/2005