TIERNEY ANN WICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238309

License Status

NOT RENEWED

Business

First Name

TIERNEY

Middle

ANN

Last Name

WICKS

Business Name

TIERNEY ANN WICKS

Original Issue Date

12/14/2015

Effective Date

12/14/2015

Expiration Date

03/31/2016

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016