SAGE KEIVANA HICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049305816

License Status

NOT RENEWED

Business

First Name

SAGE

Middle

KEIVANA

Last Name

HICKS

Business Name

SAGE KEIVANA HICKS

Original Issue Date

09/13/2023

Effective Date

09/13/2023

Expiration Date

03/31/2024

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

01/03/2025