HANNAH ALEXIS NICCUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280095

License Status

NOT RENEWED

Business

First Name

HANNAH

Middle

ALEXIS

Last Name

NICCUM

Business Name

HANNAH ALEXIS NICCUM

Original Issue Date

03/05/2021

Effective Date

03/05/2021

Expiration Date

05/31/2022

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/27/2022