NICHOLE MONIQUE BLICKHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253910

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

MONIQUE

Last Name

BLICKHAN

Business Name

NICHOLE MONIQUE BLICKHAN

Original Issue Date

10/24/2017

Effective Date

10/24/2017

Expiration Date

03/31/2018

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

06/19/2018