NYLENA LOETTE MINNICK Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146980

License Status

INACTIVE

Business

First Name

NYLENA

Middle

LOETTE

Last Name

MINNICK

Business Name

NYLENA LOETTE MINNICK

Original Issue Date

02/13/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/10/2008