MICHAEL ANTHONY NICKLAS - Pharmacist License in Illinois | # 049244859

MICHAEL ANTHONY NICKLAS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244859

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

ANTHONY

Last Name

NICKLAS

Business Name

MICHAEL ANTHONY NICKLAS

Original Issue Date

09/21/2016

Effective Date

04/12/2017

Expiration Date

03/31/2018

State

IL

Ever Disciplined

N

LastModifiedDate

06/19/2018