SCOTT R NICKLES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104597

License Status

NOT RENEWED

Business

First Name

SCOTT R

Last Name

NICKLES

Business Name

SCOTT R NICKLES

Original Issue Date

09/22/1993

Effective Date

09/22/1993

Expiration Date

03/31/1994

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005