DIANE M WICKENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217519

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

WICKENS

Business Name

DIANE M WICKENS

Original Issue Date

04/19/2013

Effective Date

01/12/2018

Expiration Date

03/31/2019

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

07/15/2019