NIKKI NICOLE OWEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157319

License Status

NOT RENEWED

Business

First Name

NIKKI

Middle

NICOLE

Last Name

OWEN

Business Name

NIKKI NICOLE OWEN

Original Issue Date

10/05/2004

Effective Date

04/04/2012

Expiration Date

03/31/2013

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

01/07/2016