NICOLE DAWN SHORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116147

License Status

NOT RENEWED

Business

First Name

NICOLE DAWN

Last Name

SHORT

Business Name

NICOLE DAWN SHORT

Original Issue Date

12/09/1996

Effective Date

12/09/1996

Expiration Date

03/31/2001

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005