DERRICK NICKSON - Pharmacist License in Illinois | # 049245184

DERRICK NICKSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245184

License Status

NOT RENEWED

Business

N

First Name

DERRICK

Last Name

NICKSON

Business Name

DERRICK NICKSON

Original Issue Date

10/04/2016

Effective Date

10/04/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017