NICOLE M LOPEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156150

License Status

NOT RENEWED

Business

First Name

NICOLE M

Last Name

LOPEZ

Business Name

NICOLE M LOPEZ

Original Issue Date

07/22/2004

Effective Date

02/18/2011

Expiration Date

03/31/2012

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2012