NELL M PIEPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154335

License Status

NOT RENEWED

Business

First Name

NELL

Middle

Last Name

PIEPER

Business Name

NELL M PIEPER

Original Issue Date

05/19/2004

Effective Date

03/14/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012