ROGER B NICKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049035624

License Status

NOT RENEWED

Business

First Name

ROGER B

Last Name

NICKERSON

Business Name

ROGER B NICKERSON

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005