MICHAEL ROBERT HICKEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080627

License Status

NOT RENEWED

Business

First Name

MICHAEL ROBERT

Last Name

HICKEY

Business Name

MICHAEL ROBERT HICKEY

Original Issue Date

01/28/1985

Effective Date

01/28/1985

Expiration Date

03/31/1991

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005