HANNA MADGE DICKEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262796

License Status

NOT RENEWED

Business

First Name

HANNA

Middle

MADGE

Last Name

DICKEN

Business Name

HANNA MADGE DICKEN

Original Issue Date

01/28/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

MATTOON

State

Zip

61938

County

MOULTRIE

Ever Disciplined

LastModifiedDate

07/20/2021