Pharmacist
PHARMACY TECHNICIAN
049140191
NOT RENEWED
N
LOLA
MERRETTA
NICKSON
LOLA MERRETTA NICKSON
01/17/2002
03/05/2021
05/31/2022
TINLEY PARK
IL
60487
Y
08/08/2024
2009002878
Suspension
05/26/2009
02/11/2010
Failure to file and/or pay Illinois state income taxes. Notice of tax release received from Department of Revenue.