LISA L NICKLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100556

License Status

NOT RENEWED

Business

First Name

LISA L

Last Name

NICKLE

Business Name

LISA L NICKLE

Original Issue Date

06/29/1992

Effective Date

06/29/1992

Expiration Date

03/31/1993

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

10/17/2005