NICOLE RENE COOPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134764

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

RENE

Last Name

COOPER

Business Name

NICOLE RENE COOPER

Original Issue Date

02/26/2001

Effective Date

02/26/2001

Expiration Date

03/31/2003

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005