NICOLE K LORENZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092036

License Status

NOT RENEWED

Business

First Name

NICOLE K

Last Name

LORENZ

Business Name

NICOLE K LORENZ

Original Issue Date

01/17/1990

Effective Date

01/17/1990

Expiration Date

03/31/1994

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/17/2005