DAN E NICKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059345

License Status

NOT RENEWED

Business

First Name

DAN E

Last Name

NICKERSON

Business Name

DAN E NICKERSON

Original Issue Date

04/04/1973

Effective Date

04/04/1973

Expiration Date

03/31/1989

City

WINTHROP HARBOR

State

Zip

60096

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005