PRICILLA M NICKLAUS - Pharmacist License in Illinois | # 049058674

PRICILLA M NICKLAUS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058674

License Status

NOT RENEWED

Business

N

First Name

PRICILLA M

Last Name

NICKLAUS

Business Name

PRICILLA M NICKLAUS

Original Issue Date

11/04/1972

Effective Date

11/04/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005