NICOLE LYNN SCANTLIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256124

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNN

Last Name

SCANTLIN

Business Name

NICOLE LYNN SCANTLIN

Original Issue Date

02/13/2018

Effective Date

03/05/2022

Expiration Date

03/31/2023

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/07/2023