DANA L NICHOLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095678

License Status

NOT RENEWED

Business

First Name

DANA L

Last Name

NICHOLS

Business Name

DANA L NICHOLS

Original Issue Date

01/25/1991

Effective Date

01/25/1991

Expiration Date

03/31/1992

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005