LAQUISHA LANETTE HICKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130466

License Status

NOT RENEWED

Business

First Name

LAQUISHA

Middle

LANETTE

Last Name

HICKMAN

Business Name

LAQUISHA LANETTE HICKMAN

Original Issue Date

04/10/2000

Effective Date

03/19/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015