NICOLE BETH NIEMEYER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121383

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

BETH

Last Name

NIEMEYER

Business Name

NICOLE BETH NIEMEYER

Original Issue Date

06/08/1998

Effective Date

06/08/1998

Expiration Date

03/31/2004

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005