ROBERT PETER NICKSIC SR Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289223

License Status

INACTIVE

Business

First Name

ROBERT

Middle

PETER

Last Name

NICKSIC

Suffix

Business Name

ROBERT PETER NICKSIC SR

Original Issue Date

11/18/2002

Effective Date

03/08/2012

Expiration Date

03/31/2014

City

SALEM

State

Zip

53168

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/09/2014