JON M NIELSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227938

License Status

NOT RENEWED

Business

First Name

JON

Middle

Last Name

NIELSEN

Prefix

Business Name

JON M NIELSEN

Original Issue Date

09/18/2014

Effective Date

03/08/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017