JEFFERY A NIELSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147917

License Status

NOT RENEWED

Business

First Name

JEFFERY

Middle

Last Name

NIELSEN

Business Name

JEFFERY A NIELSEN

Original Issue Date

04/09/2003

Effective Date

04/09/2003

Expiration Date

03/31/2004

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/20/2005