DOROTHY L LICKENBROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114119

License Status

NOT RENEWED

Business

First Name

DOROTHY L

Last Name

LICKENBROCK

Business Name

DOROTHY L LICKENBROCK

Original Issue Date

05/01/1996

Effective Date

05/01/1996

Expiration Date

03/31/1998

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005