MARY JANE NICKLE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102190

License Status

INACTIVE

Business

First Name

MARY JANE

Last Name

NICKLE

Business Name

MARY JANE NICKLE

Original Issue Date

01/23/1993

Effective Date

03/12/2012

Expiration Date

03/31/2013

City

MORO

State

Zip

62067

County

MADISON

Ever Disciplined

LastModifiedDate

01/03/2013