NICOLE KUPISH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162597

License Status

NOT RENEWED

Business

First Name

NICOLE

Last Name

KUPISH

Business Name

NICOLE KUPISH

Original Issue Date

07/29/2005

Effective Date

07/29/2005

Expiration Date

03/31/2006

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2006