HAIDEN C WICKLINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049300060

License Status

NOT RENEWED

Business

First Name

HAIDEN

Middle

Last Name

WICKLINE

Business Name

HAIDEN C WICKLINE

Original Issue Date

02/22/2023

Effective Date

03/29/2024

Expiration Date

03/31/2025

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

07/08/2025