JEANA MICHELLE NICOLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147108

License Status

NOT RENEWED

Business

First Name

JEANA

Middle

MICHELLE

Last Name

NICOLE

Business Name

JEANA MICHELLE NICOLE

Original Issue Date

02/19/2003

Effective Date

02/19/2003

Expiration Date

03/31/2004

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

08/03/2018