TYLER DONOVAN HICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049287884

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

DONOVAN

Last Name

HICKS

Business Name

TYLER DONOVAN HICKS

Original Issue Date

11/12/2021

Effective Date

03/08/2022

Expiration Date

03/31/2023

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

09/07/2023