OWEDA RUTH NICKENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071076

License Status

NOT RENEWED

Business

First Name

OWEDA RUTH

Last Name

NICKENS

Business Name

OWEDA RUTH NICKENS

Original Issue Date

04/27/1979

Effective Date

04/27/1979

Expiration Date

01/01/1997

City

ST ANNE

State

Zip

60964

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005