CRYSTAL D NICHOLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079451

License Status

NOT RENEWED

Business

First Name

CRYSTAL D

Last Name

NICHOLS

Business Name

CRYSTAL D NICHOLS

Original Issue Date

01/27/1984

Effective Date

01/27/1984

Expiration Date

03/31/1988

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005