MICHELLE R SPICER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128645

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

SPICER

Business Name

MICHELLE R SPICER

Original Issue Date

12/16/1999

Effective Date

12/16/1999

Expiration Date

03/31/2005

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005