RYAN S HICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133708

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

HICKS

Business Name

RYAN S HICKS

Original Issue Date

11/21/2000

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2009