KIMBERLY ANN HICKEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203873

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

HICKEY

Business Name

KIMBERLY ANN HICKEY

Original Issue Date

04/27/2011

Effective Date

04/27/2011

Expiration Date

03/31/2012

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2012