NICOLE R BURLEYSON Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290329

License Status

ACTIVE

Business

First Name

NICOLE

Middle

Last Name

BURLEYSON

Business Name

NICOLE R BURLEYSON

Original Issue Date

12/30/2004

Effective Date

03/17/2026

Expiration Date

03/31/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/17/2026