MICHELLE ANN NILSSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247066

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ANN

Last Name

NILSSON

Business Name

MICHELLE ANN NILSSON

Original Issue Date

12/12/2016

Effective Date

03/19/2018

Expiration Date

03/31/2019

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/15/2019