NICOLE KRISTIN BOTHWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179624

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

KRISTIN

Last Name

BOTHWELL

Business Name

NICOLE KRISTIN BOTHWELL

Original Issue Date

10/01/2007

Effective Date

03/14/2019

Expiration Date

09/30/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/08/2021