SAMANTHA J NICKERSON - Pharmacist License in Illinois | # 049088565

SAMANTHA J NICKERSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049088565

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005