JEANINE ROSE HICKS - Pharmacist License in Illinois | # 049143852

JEANINE ROSE HICKS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143852

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005