THERESA S WYCKOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094089

License Status

NOT RENEWED

Business

First Name

THERESA S

Last Name

WYCKOFF

Business Name

THERESA S WYCKOFF

Original Issue Date

08/07/1990

Effective Date

08/07/1990

Expiration Date

03/31/1991

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005