KIM NICKELL - Pharmacist License in Illinois | # 049063003

KIM NICKELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063003

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005