DONITA JOANNE HICKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058502

License Status

NOT RENEWED

Business

First Name

DONITA JOANNE

Last Name

HICKMAN

Business Name

DONITA JOANNE HICKMAN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005