LARRY NIKODEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059119

License Status

NOT RENEWED

Business

First Name

LARRY

Last Name

NIKODEM

Business Name

LARRY NIKODEM

Original Issue Date

02/26/1973

Effective Date

02/26/1973

Expiration Date

03/31/1986

City

STREAMWOOD

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005