JORDAN THOMAS NICHOLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220039

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

THOMAS

Last Name

NICHOLS

Business Name

JORDAN THOMAS NICHOLS

Original Issue Date

08/15/2013

Effective Date

03/25/2019

Expiration Date

09/30/2020

City

NEW BERLIN

State

Zip

62670

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/08/2021