NICKLAS GORDON SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158830

License Status

NOT RENEWED

Business

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

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

01/08/2021