ERICA DIANE MACKEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124750

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

DIANE

Last Name

MACKEY

Business Name

ERICA DIANE MACKEY

Original Issue Date

02/19/1999

Effective Date

02/19/1999

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005