STEPHANIE L NICHOLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115761

License Status

NOT RENEWED

Business

First Name

STEPHANIE L

Last Name

NICHOLSON

Business Name

STEPHANIE L NICHOLSON

Original Issue Date

10/29/1996

Effective Date

10/29/1996

Expiration Date

03/31/2002

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

12/06/2005