ANDRE MICHAEL NICKERSON - Pharmacist License in Illinois | # 049055333

ANDRE MICHAEL NICKERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055333

License Status

NOT RENEWED

Business

N

First Name

ANDRE MICHAEL

Last Name

NICKERSON

Business Name

ANDRE MICHAEL NICKERSON

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005