MATTHEW TYLER NICKENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193129

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

TYLER

Last Name

NICKENS

Business Name

MATTHEW TYLER NICKENS

Original Issue Date

07/21/2009

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011