NICHOLE RENEE PETERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122554

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

RENEE

Last Name

PETERSON

Business Name

NICHOLE RENEE PETERSON

Original Issue Date

08/21/1998

Effective Date

03/07/2016

Expiration Date

03/31/2017

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

05/10/2017