BLAIR NICOLE GIBBONS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152190

License Status

NOT RENEWED

Business

First Name

BLAIR

Middle

NICOLE

Last Name

GIBBONS

Business Name

BLAIR NICOLE GIBBONS

Original Issue Date

11/17/2003

Effective Date

03/31/2010

Expiration Date

03/31/2011

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

05/12/2011