NICOLE L HERGENROEDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174725

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

HERGENROEDER

Business Name

NICOLE L HERGENROEDER

Original Issue Date

03/08/2007

Effective Date

03/08/2007

Expiration Date

03/31/2008

City

EAST SAINT LOUIS

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2008