MADISON E WIKSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242713

License Status

NOT RENEWED

Business

First Name

MADISON

Middle

Last Name

WIKSTROM

Business Name

MADISON E WIKSTROM

Original Issue Date

06/27/2016

Effective Date

02/13/2018

Expiration Date

03/31/2019

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019