KAYLA D HICKOX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155352

License Status

NOT RENEWED

Business

First Name

KAYLA D

Last Name

HICKOX

Business Name

KAYLA D HICKOX

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

03/31/2005

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/20/2005