BRIAN VAN VICKLE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001810

License Status

CANCELLED

Business

Business Name

BRIAN VAN VICKLE

City

ROCHELLE

State

Zip

61068

County

OGLE

Specialty/Qualifier

GOVT-LOCAL

Controlled Substance Schedule

I II

Ever Disciplined

LastModifiedDate

09/08/2011