FALLON N NICHOLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138465

License Status

NOT RENEWED

Business

First Name

FALLON

Middle

Last Name

NICHOLS

Business Name

FALLON N NICHOLS

Original Issue Date

09/26/2001

Effective Date

09/26/2001

Expiration Date

03/31/2002

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

2002004888

Action

Suspension

Discipline Start Date

06/30/2004

Discipline Reason

Felony conviction of retail theft in the Circuit Court of St. Clair County.