SAMANTHA F HICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216781

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

HICKS

Business Name

SAMANTHA F HICKS

Original Issue Date

03/26/2013

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

ELKVILLE

State

Zip

62932

County

JACKSON

Ever Disciplined

LastModifiedDate

05/20/2016