DAKOTA LAUREN NISSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250070

License Status

NOT RENEWED

Business

First Name

DAKOTA

Middle

LAUREN

Last Name

NISSEN

Business Name

DAKOTA LAUREN NISSEN

Original Issue Date

04/21/2017

Effective Date

05/26/2023

Expiration Date

03/31/2024

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

01/03/2025