BETH A NICKEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111503

License Status

NOT RENEWED

Business

First Name

BETH A

Last Name

NICKEL

Business Name

BETH A NICKEL

Original Issue Date

08/07/1995

Effective Date

08/07/1995

Expiration Date

03/31/1996

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005