NICOLE DANIELLE VANDERPOOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139961

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

DANIELLE

Last Name

VANDERPOOL

Business Name

NICOLE DANIELLE VANDERPOOL

Original Issue Date

01/15/2002

Effective Date

03/05/2009

Expiration Date

03/31/2010

City

MASON CITY

State

Zip

62664

County

MASON

Ever Disciplined

LastModifiedDate

05/04/2010