BRETT R NICKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233789

License Status

NOT RENEWED

Business

First Name

BRETT

Middle

Last Name

NICKERSON

Business Name

BRETT R NICKERSON

Original Issue Date

06/15/2015

Effective Date

04/13/2018

Expiration Date

03/31/2019

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019