TANIA M HICKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203480

License Status

NOT RENEWED

Business

First Name

TANIA

Middle

Last Name

HICKMAN

Business Name

TANIA M HICKMAN

Original Issue Date

04/04/2011

Effective Date

04/04/2011

Expiration Date

03/31/2012

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/07/2012