JORDAN M HICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191859

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

Last Name

HICKS

Business Name

JORDAN M HICKS

Original Issue Date

05/22/2009

Effective Date

01/10/2011

Expiration Date

03/31/2012

City

GREEN VALLEY

State

Zip

61534

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012