LISA RENE RICKEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153340

License Status

NOT RENEWED

Business

First Name

LISA

Middle

RENE

Last Name

RICKEY

Business Name

LISA RENE RICKEY

Original Issue Date

02/26/2004

Effective Date

02/26/2004

Expiration Date

03/31/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2006