TODD F NICHOLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120994

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

NICHOLS

Business Name

TODD F NICHOLS

Original Issue Date

05/14/1998

Effective Date

05/14/1998

Expiration Date

03/31/2002

City

PONTOON BEACH

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

12/06/2005