SHEILA M WIXTED Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200676

License Status

NOT RENEWED

Business

First Name

SHEILA

Middle

Last Name

WIXTED

Business Name

SHEILA M WIXTED

Original Issue Date

09/21/2010

Effective Date

09/21/2010

Expiration Date

03/31/2011

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/16/2012