NICOLE C HAAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179951

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

HAAS

Business Name

NICOLE C HAAS

Original Issue Date

10/16/2007

Effective Date

10/16/2007

Expiration Date

03/31/2008

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2008