BETH LEANETT NICHELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150507

License Status

NOT RENEWED

Business

First Name

BETH

Middle

LEANETT

Last Name

NICHELSON

Business Name

BETH LEANETT NICHELSON

Original Issue Date

09/05/2003

Effective Date

03/19/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021