TRISCIA S NICKEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203104

License Status

NOT RENEWED

Business

First Name

TRISCIA

Middle

Last Name

NICKEL

Prefix

Business Name

TRISCIA S NICKEL

Original Issue Date

03/10/2011

Effective Date

03/10/2011

Expiration Date

03/31/2012

City

LENA

State

Zip

61048

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/07/2012