KATELYN E NICHOLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162394

License Status

NOT RENEWED

Business

First Name

KATELYN

Middle

Last Name

NICHOLS

Business Name

KATELYN E NICHOLS

Original Issue Date

07/21/2005

Effective Date

02/10/2012

Expiration Date

03/31/2013

City

DE PERE

State

Zip

54115

Ever Disciplined

LastModifiedDate

05/06/2013