NICOLE R BUTTRUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112691

License Status

NOT RENEWED

Business

First Name

NICOLE R

Last Name

BUTTRUM

Business Name

NICOLE R BUTTRUM

Original Issue Date

12/06/1995

Effective Date

12/06/1995

Expiration Date

03/31/1996

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005