DIANA LOUISE HICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166753

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

LOUISE

Last Name

HICKS

Business Name

DIANA LOUISE HICKS

Original Issue Date

03/14/2006

Effective Date

03/14/2006

Expiration Date

03/31/2007

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Ever Disciplined

LastModifiedDate

05/14/2007