License holder summary

HICKEY GUY S is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for HICKEY GUY S is 1100 MARSHALL WAY PLACERVILLE CA 95667. This licensed professional license is not current. The license was granted 06/14/2004 and expired on 06/01/2014.

California

Department of Consumer Affairs

HICKEY GUY S
Pharmacy - Designated Representative (Exemptees)
License number
17505
Date granted
06/14/2004
Date expires
06/01/2014
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
1100 MARSHALL WAY PLACERVILLE CA 95667
californialicensing.org
ID 11670312
LAST UPDATED 2024-02-28 08:33:35 UTC

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