NICHOLE ANN SUTPHIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179221

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

ANN

Last Name

SUTPHIN

Business Name

NICHOLE ANN SUTPHIN

Original Issue Date

09/13/2007

Effective Date

03/22/2010

Expiration Date

03/31/2011

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011