KIMBERLY LYNN HICKAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257304

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

LYNN

Last Name

HICKAM

Business Name

KIMBERLY LYNN HICKAM

Original Issue Date

04/05/2018

Effective Date

04/05/2018

Expiration Date

03/31/2019

City

POMONA

State

Zip

62975

County

JACKSON

Ever Disciplined

LastModifiedDate

07/15/2019