NICOLE FRANCES LOSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175953

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

FRANCES

Last Name

LOSS

Business Name

NICOLE FRANCES LOSS

Original Issue Date

04/27/2007

Effective Date

02/10/2010

Expiration Date

03/31/2011

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/12/2011