NANCY J HICKAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064731

License Status

NOT RENEWED

Business

First Name

NANCY J

Last Name

HICKAM

Business Name

NANCY J HICKAM

Original Issue Date

01/16/1976

Effective Date

01/16/1976

Expiration Date

01/01/1997

City

CARBONDALE

State

Zip

62901

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/17/2005