JEANINE ROSE HICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143852

License Status

NOT RENEWED

Business

First Name

JEANINE

Middle

ROSE

Last Name

HICKS

Business Name

JEANINE ROSE HICKS

Original Issue Date

07/29/2002

Effective Date

07/29/2002

Expiration Date

03/31/2005

City

COLONA

State

Zip

61241

County

HENRY

Ever Disciplined

LastModifiedDate

10/20/2005