KIM NICKELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063003

License Status

NOT RENEWED

Business

First Name

KIM

Last Name

NICKELL

Business Name

KIM NICKELL

Original Issue Date

02/21/1975

Effective Date

02/21/1975

Expiration Date

01/01/1997

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005