NICOLE M NESSELHAUF Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296000

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

NESSELHAUF

Prefix

Business Name

NICOLE M NESSELHAUF

Original Issue Date

08/09/2012

Effective Date

02/22/2016

Expiration Date

03/31/2018

City

EDWARDSVILLE

State

Zip

62015

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

01/12/2018