NICOLE MARIE MANTHEI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156663

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

MANTHEI

Business Name

NICOLE MARIE MANTHEI

Original Issue Date

08/16/2004

Effective Date

02/20/2015

Expiration Date

03/31/2016

City

PEARL CITY

State

Zip

61062

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/20/2016