NICKHOLAS DALE STAMBAUGH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268729

License Status

NOT RENEWED

Business

First Name

NICKHOLAS

Middle

DALE

Last Name

STAMBAUGH

Business Name

NICKHOLAS DALE STAMBAUGH

Original Issue Date

10/21/2019

Effective Date

10/21/2019

Expiration Date

09/30/2020

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

01/08/2021