RYAN LOUIS WICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179603

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

LOUIS

Last Name

WICKS

Business Name

RYAN LOUIS WICKS

Original Issue Date

09/28/2007

Effective Date

09/28/2007

Expiration Date

03/31/2008

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/02/2008