LISA M. NICKEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049245026

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

NICKEL

Prefix

Business Name

LISA M. NICKEL

Original Issue Date

09/28/2016

Effective Date

09/28/2016

Expiration Date

03/31/2017

City

TRIUMPH

State

Zip

61371

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/10/2017