LISA KAY NICHOLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069263

License Status

NOT RENEWED

Business

First Name

LISA KAY

Last Name

NICHOLSON

Business Name

LISA KAY NICHOLSON

Original Issue Date

04/28/1978

Effective Date

04/28/1978

Expiration Date

01/01/1997

City

HILLSDALE

State

Zip

61257

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005