DERRICK NICKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245184

License Status

NOT RENEWED

Business

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

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017