DESA DIANE HICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275759

License Status

NOT RENEWED

Business

First Name

DESA

Middle

DIANE

Last Name

HICKS

Business Name

DESA DIANE HICKS

Original Issue Date

09/15/2020

Effective Date

09/15/2020

Expiration Date

03/31/2021

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

07/20/2021