NICOLE MARY ENTRUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158783

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARY

Last Name

ENTRUP

Business Name

NICOLE MARY ENTRUP

Original Issue Date

01/05/2005

Effective Date

02/07/2014

Expiration Date

03/31/2015

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/11/2015