SAMANTHA J NICKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088565

License Status

NOT RENEWED

Business

First Name

SAMANTHA J

Last Name

NICKERSON

Business Name

SAMANTHA J NICKERSON

Original Issue Date

12/20/1988

Effective Date

12/20/1988

Expiration Date

03/31/1995

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005