NICOLE L EIGENBRODT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049233122

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

EIGENBRODT

Prefix

Business Name

NICOLE L EIGENBRODT

Original Issue Date

05/16/2015

Effective Date

02/04/2019

Expiration Date

09/30/2020

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/08/2021