ALISA G NICHOLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074125

License Status

NOT RENEWED

Business

First Name

ALISA

Middle

Last Name

NICHOLS

Business Name

ALISA G NICHOLS

Original Issue Date

01/20/1981

Effective Date

01/20/1981

Expiration Date

03/31/1989

City

MT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005