NICHOLE M ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200279

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

Last Name

ANDERSON

Business Name

NICHOLE M ANDERSON

Original Issue Date

08/31/2010

Effective Date

02/26/2013

Expiration Date

03/31/2014

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/06/2014