TIFFANY R WIKSTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102593

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

WIKSTEN

Business Name

TIFFANY R WIKSTEN

Original Issue Date

03/04/1993

Effective Date

03/04/1993

Expiration Date

03/31/2004

City

ORLAND PARK

State

Zip

60462

Ever Disciplined

LastModifiedDate

10/20/2005