GEORGEANN M WICKLUND Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027661

License Status

INACTIVE

Business

First Name

GEORGEANN M

Last Name

WICKLUND

Business Name

GEORGEANN M WICKLUND

Original Issue Date

01/01/1997

Effective Date

02/24/2010

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/12/2012