LARYSA TARASHEVSKA WICKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138456

License Status

NOT RENEWED

Business

First Name

LARYSA

Middle

TARASHEVSKA

Last Name

WICKMAN

Business Name

LARYSA TARASHEVSKA WICKMAN

Original Issue Date

09/25/2001

Effective Date

09/25/2001

Expiration Date

03/31/2002

City

YPSILANTI

State

Zip

48197

County

WAYNE

Ever Disciplined

LastModifiedDate

12/06/2005