MARCY K ICE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189629

License Status

NOT RENEWED

Business

First Name

MARCY

Middle

Last Name

ICE

Prefix

Business Name

MARCY K ICE

Original Issue Date

02/13/2009

Effective Date

02/13/2009

Expiration Date

03/31/2010

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010