CATHLEEN ANN NICHOLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128749

License Status

NOT RENEWED

Business

First Name

CATHLEEN

Middle

ANN

Last Name

NICHOLS

Business Name

CATHLEEN ANN NICHOLS

Original Issue Date

12/28/1999

Effective Date

12/28/1999

Expiration Date

03/31/2003

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005