ANTOINETTE LYNELL HICKEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172431

License Status

NOT RENEWED

Business

First Name

ANTOINETTE

Middle

LYNELL

Last Name

HICKEY

Business Name

ANTOINETTE LYNELL HICKEY

Original Issue Date

11/09/2006

Effective Date

04/05/2010

Expiration Date

03/31/2011

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/12/2011