NICOLE S SOPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125018

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

SOPER

Business Name

NICOLE S SOPER

Original Issue Date

03/12/1999

Effective Date

03/12/1999

Expiration Date

03/31/2002

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

12/06/2005