ROBERT E WICKESBERG - Pharmacist License in Illinois | # 097001278

ROBERT E WICKESBERG

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001278

License Status

NOT RENEWED

Business

Y

Business Name

ROBERT E WICKESBERG

Original Issue Date

12/23/2002

Effective Date

11/15/2012

Expiration Date

12/31/2014

State

IL

Controlled Substance Schedule

III

Ever Disciplined

N

LastModifiedDate

02/11/2015