NICOLE R BUSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101764

License Status

NOT RENEWED

Business

First Name

NICOLE R

Last Name

BUSH

Business Name

NICOLE R BUSH

Original Issue Date

11/19/1992

Effective Date

11/19/1992

Expiration Date

03/31/1997

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005