MARY LICKENBROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200220

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

LICKENBROCK

Business Name

MARY LICKENBROCK

Original Issue Date

08/28/2010

Effective Date

04/01/2016

Expiration Date

03/31/2017

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2017