BERTA B HICKEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049051775

License Status

NOT RENEWED

Business

First Name

BERTA B

Last Name

HICKEY

Business Name

BERTA B HICKEY

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CENTRALIA

State

Zip

62801

County

CLINTON

Ever Disciplined

LastModifiedDate

10/17/2005