SANDRA FAYE NICKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109089

License Status

NOT RENEWED

Business

First Name

SANDRA FAYE

Last Name

NICKERSON

Business Name

SANDRA FAYE NICKERSON

Original Issue Date

12/14/1994

Effective Date

12/14/1994

Expiration Date

03/31/1996

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1995006424

Action

Suspension

Discipline Start Date

08/28/1997

Discipline Reason

Convicted of attempted unlawful possession of a controlled substance.