TY RUSSELL WICKLINE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049309973

License Status

NOT RENEWED

Business

First Name

Middle

RUSSELL

Last Name

WICKLINE

Business Name

TY RUSSELL WICKLINE

Original Issue Date

02/20/2024

Effective Date

02/20/2024

Expiration Date

03/31/2025

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

07/08/2025