SUSAN LYNN WICKBOLDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200276

License Status

NOT RENEWED

Business

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

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011