TRACEY MICHELLE NICKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222357

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

MICHELLE

Last Name

NICKS

Business Name

TRACEY MICHELLE NICKS

Original Issue Date

12/05/2013

Effective Date

04/01/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017