CLIFFORD LEON NICHOLS JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063202

License Status

NOT RENEWED

Business

First Name

CLIFFORD LEON

Last Name

NICHOLS JR

Business Name

CLIFFORD LEON NICHOLS JR

Original Issue Date

03/28/1975

Effective Date

03/28/1975

Expiration Date

01/01/1997

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005