NICHOLE LEE JACKSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049274924

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

LEE

Last Name

JACKSON

Business Name

NICHOLE LEE JACKSON

Original Issue Date

08/10/2020

Effective Date

08/10/2020

Expiration Date

03/31/2021

City

FREEMAN SPUR

State

Zip

62841

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/20/2021