MICHAEL KENNETH HICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249079

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

KENNETH

Last Name

HICKS

Business Name

MICHAEL KENNETH HICKS

Original Issue Date

03/14/2017

Effective Date

01/17/2018

Expiration Date

03/31/2019

City

HAINESVILLE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2019