NICOLE M KOELLNER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051287641

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

KOELLNER

Business Name

NICOLE M KOELLNER

Original Issue Date

06/09/2000

Effective Date

06/09/2000

Expiration Date

03/31/2002

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

12/06/2005