NICOLE A FAULK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166866

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

FAULK

Business Name

NICOLE A FAULK

Original Issue Date

03/20/2006

Effective Date

03/19/2013

Expiration Date

03/31/2014

City

ST AUGUSTINE

State

Zip

32092

Ever Disciplined

LastModifiedDate

05/06/2014