ERIC RAY NICKLAUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127653

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

RAY

Last Name

NICKLAUS

Business Name

ERIC RAY NICKLAUS

Original Issue Date

09/24/1999

Effective Date

09/24/1999

Expiration Date

03/31/2001

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/21/2005