TAMMY ELEASE NICHOLSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187089

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

ELEASE

Last Name

NICHOLSON

Business Name

TAMMY ELEASE NICHOLSON

Original Issue Date

09/17/2008

Effective Date

01/13/2009

Expiration Date

03/31/2010

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/04/2010