CARLY JANE WICHUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255243

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

JANE

Last Name

WICHUS

Business Name

CARLY JANE WICHUS

Original Issue Date

12/29/2017

Effective Date

12/29/2017

Expiration Date

03/31/2018

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

06/19/2018