LAURA EILEEN NICKLAUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118429

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

EILEEN

Last Name

NICKLAUS

Business Name

LAURA EILEEN NICKLAUS

Original Issue Date

08/07/1997

Effective Date

08/07/1997

Expiration Date

03/31/2001

City

MONROE CENTER

State

Zip

61052

County

OGLE

Ever Disciplined

LastModifiedDate

10/21/2005