NICOLE RENEE BLEVENUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162583

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

RENEE

Last Name

BLEVENUE

Business Name

NICOLE RENEE BLEVENUE

Original Issue Date

07/28/2005

Effective Date

07/28/2005

Expiration Date

03/31/2006

City

HECKER

State

Zip

62248

County

MONROE

Ever Disciplined

LastModifiedDate

05/11/2006