MARK REYNOLDS WICKERSHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170308

License Status

NOT RENEWED

Business

First Name

MARK

Middle

REYNOLDS

Last Name

WICKERSHAM

Business Name

MARK REYNOLDS WICKERSHAM

Original Issue Date

07/31/2006

Effective Date

03/31/2010

Expiration Date

03/31/2011

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011