LORI RENE WICKENHAUSER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289000

License Status

NOT RENEWED

Business

First Name

LORI

Middle

RENE

Last Name

WICKENHAUSER

Business Name

LORI RENE WICKENHAUSER

Original Issue Date

08/16/2002

Effective Date

08/16/2002

Expiration Date

03/31/2004

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/07/2012

Case Number

2006011413

Action

Suspension

Discipline Start Date

10/23/2007

Discipline End Date

09/06/2012

Discipline Reason

after being disciplined in the state of Arizona.