COLYSTA NICHOLE LADAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133394

License Status

NOT RENEWED

Business

First Name

COLYSTA

Middle

NICHOLE

Last Name

LADAGE

Business Name

COLYSTA NICHOLE LADAGE

Original Issue Date

10/30/2000

Effective Date

03/02/2009

Expiration Date

03/31/2010

City

PANA

State

Zip

62557

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/04/2010