NANIKO DIONNE LARRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291714

License Status

NOT RENEWED

Business

First Name

NANIKO

Middle

DIONNE

Last Name

LARRY

Business Name

NANIKO DIONNE LARRY

Original Issue Date

03/02/2007

Effective Date

02/02/2016

Expiration Date

03/31/2018

City

FORT MOHAVE

State

Zip

86426

Ever Disciplined

LastModifiedDate

06/19/2018