LESLIE PRISCILLA NICHOLLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256665

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

PRISCILLA

Last Name

NICHOLLS

Business Name

LESLIE PRISCILLA NICHOLLS

Original Issue Date

03/12/2018

Effective Date

03/12/2018

Expiration Date

03/31/2019

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/15/2019