BRIAN K NICKLESS - Pharmacist License in Illinois | # 049111202

BRIAN K NICKLESS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111202

License Status

NOT RENEWED

Business

N

First Name

BRIAN K

Last Name

NICKLESS

Business Name

BRIAN K NICKLESS

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005