NICOLE CLEVENGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277196

License Status

NOT RENEWED

Business

First Name

NICOLE

Last Name

CLEVENGER

Business Name

NICOLE CLEVENGER

Original Issue Date

11/04/2020

Effective Date

02/11/2021

Expiration Date

05/31/2022

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022