NICOLE LYNETTE SHORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187100

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNETTE

Last Name

SHORT

Business Name

NICOLE LYNETTE SHORT

Original Issue Date

09/18/2008

Effective Date

09/18/2008

Expiration Date

03/31/2009

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2009