NICOLE M MARLATT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123419

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MARLATT

Business Name

NICOLE M MARLATT

Original Issue Date

10/23/1998

Effective Date

10/23/1998

Expiration Date

03/31/2000

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

10/21/2005