DEBRA DIANE HICKLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120692

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

DIANE

Last Name

HICKLE

Business Name

DEBRA DIANE HICKLE

Original Issue Date

04/21/1998

Effective Date

04/21/1998

Expiration Date

03/31/2000

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/21/2005