TRINA R NIELCEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139820

License Status

NOT RENEWED

Business

First Name

TRINA

Middle

Last Name

NIELCEN

Business Name

TRINA R NIELCEN

Original Issue Date

01/04/2002

Effective Date

01/20/2009

Expiration Date

03/31/2010

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010