JENNA ANN HICKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200161

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

ANN

Last Name

HICKMAN

Business Name

JENNA ANN HICKMAN

Original Issue Date

08/25/2010

Effective Date

03/17/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012