KASEY ANN NICHOLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136383

License Status

NOT RENEWED

Business

First Name

KASEY

Middle

ANN

Last Name

NICHOLS

Business Name

KASEY ANN NICHOLS

Original Issue Date

05/21/2001

Effective Date

05/21/2001

Expiration Date

03/31/2002

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005