SUSAN LYNN WICKBOLDT - Pharmacist License in Illinois | # 049200276

SUSAN LYNN WICKBOLDT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200276

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Middle

LYNN

Last Name

WICKBOLDT

Business Name

SUSAN LYNN WICKBOLDT

Original Issue Date

08/31/2010

Effective Date

08/31/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011