KYLIE M HICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179710

License Status

NOT RENEWED

Business

First Name

KYLIE

Middle

Last Name

HICKS

Business Name

KYLIE M HICKS

Original Issue Date

10/03/2007

Effective Date

10/03/2007

Expiration Date

03/31/2008

City

PERRYSVILLE

State

Zip

47974

County

INDIANA

Ever Disciplined

LastModifiedDate

05/02/2008