KENNETH GREGORY HICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217183

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

GREGORY

Last Name

HICKS

Business Name

KENNETH GREGORY HICKS

Original Issue Date

04/05/2013

Effective Date

03/07/2014

Expiration Date

03/31/2015

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2015