NICOLE E MATTHEWS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186934

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MATTHEWS

Business Name

NICOLE E MATTHEWS

Original Issue Date

09/10/2008

Effective Date

03/19/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015