NICOLE R SCHAFFENACKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151629

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

SCHAFFENACKER

Business Name

NICOLE R SCHAFFENACKER

Original Issue Date

10/15/2003

Effective Date

10/15/2003

Expiration Date

03/31/2005

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/20/2005