SAMANTHA A NICHOLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242764

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

NICHOLAS

Prefix

Business Name

SAMANTHA A NICHOLAS

Original Issue Date

06/28/2016

Effective Date

03/13/2017

Expiration Date

03/31/2018

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

06/19/2018