SHELLY D ICKES Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037496

License Status

INACTIVE

Business

First Name

SHELLY D

Last Name

ICKES

Business Name

SHELLY D ICKES

Original Issue Date

09/02/1989

Effective Date

09/02/1989

Expiration Date

03/31/2000

City

COLUMBUS

State

Zip

43221

County

OHIO

Ever Disciplined

LastModifiedDate

12/06/2005