PHYLLIS LOUISE SHICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130093

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

LOUISE

Last Name

SHICK

Business Name

PHYLLIS LOUISE SHICK

Original Issue Date

03/20/2000

Effective Date

02/02/2012

Expiration Date

03/31/2013

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

05/06/2013