KEALEY NICHOLE BREGENHORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286830

License Status

NOT RENEWED

Business

First Name

KEALEY

Middle

NICHOLE

Last Name

BREGENHORN

Business Name

KEALEY NICHOLE BREGENHORN

Original Issue Date

10/23/2021

Effective Date

06/24/2022

Expiration Date

03/31/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/07/2023