License holder summary

Philip Wickstrom is a Directory Of Registered Athlete Agents - Ophthalmic Dispenser licensed to practice in Kentucky. This licensed professional license is not current. The license was granted 07/21/2004 and expired on 12/31/2014.

Kentucky

Department of Professional Licensing

Philip Wickstrom
Directory Of Registered Athlete Agents - Ophthalmic Dispenser
License number
1358
Date granted
07/21/2004
Date expires
12/31/2014
Class
Directory Of Registered Athlete Agents - Ophthalmic Dispenser
Status
Terminated
kentuckylicensing.com
ID 31286215
LAST UPDATED 2024-01-24 09:56:15 UTC

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