AMY KATHLEEN NICKELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172067

License Status

NOT RENEWED

Business

First Name

AMY

Middle

KATHLEEN

Last Name

NICKELL

Business Name

AMY KATHLEEN NICKELL

Original Issue Date

10/25/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

05/02/2008