NICKLAS GORDON SMITH - Pharmacist License in Illinois | # 049158830

NICKLAS GORDON SMITH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158830

License Status

NOT RENEWED

Business

N

First Name

NICKLAS

Middle

GORDON

Last Name

SMITH

Business Name

NICKLAS GORDON SMITH

Original Issue Date

01/10/2005

Effective Date

02/20/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021