ANDRE MICHAEL NICKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055333

License Status

NOT RENEWED

Business

First Name

ANDRE MICHAEL

Last Name

NICKERSON

Business Name

ANDRE MICHAEL NICKERSON

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005