NICOLE LEIGH ELAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144485

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LEIGH

Last Name

ELAM

Business Name

NICOLE LEIGH ELAM

Original Issue Date

09/05/2002

Effective Date

01/16/2009

Expiration Date

03/31/2010

City

SMITHBORO

State

Zip

62284

Ever Disciplined

LastModifiedDate

05/04/2010