ALEX S HASTICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163622

License Status

NOT RENEWED

Business

First Name

ALEX

Middle

Last Name

HASTICK

Business Name

ALEX S HASTICK

Original Issue Date

09/07/2005

Effective Date

02/28/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012