CYNTHIA A WICKLINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059795

License Status

NOT RENEWED

Business

First Name

CYNTHIA A

Last Name

WICKLINE

Business Name

CYNTHIA A WICKLINE

Original Issue Date

06/22/1973

Effective Date

06/22/1973

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005