DOUGLAS A NICKEL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027053

License Status

INACTIVE

Business

First Name

DOUGLAS A

Last Name

NICKEL

Business Name

DOUGLAS A NICKEL

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

FOX POINT

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005