TYLER S HICKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091157

License Status

NOT RENEWED

Business

First Name

TYLER S

Last Name

HICKMAN

Business Name

TYLER S HICKMAN

Original Issue Date

09/16/1989

Effective Date

09/16/1989

Expiration Date

03/31/1991

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005