LAUREL L WICKHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260211

License Status

NOT RENEWED

Business

First Name

LAUREL

Middle

Last Name

WICKHAM

Business Name

LAUREL L WICKHAM

Original Issue Date

09/26/2018

Effective Date

09/26/2018

Expiration Date

03/31/2019

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

07/15/2019