NELLIE MAE CLAUSSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068943

License Status

NOT RENEWED

Business

First Name

NELLIE MAE

Last Name

CLAUSSEN

Business Name

NELLIE MAE CLAUSSEN

Original Issue Date

03/10/1978

Effective Date

03/10/1978

Expiration Date

03/31/1984

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005