NICOLE MARIE MAPES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195892

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

MAPES

Business Name

NICOLE MARIE MAPES

Original Issue Date

12/16/2009

Effective Date

03/03/2011

Expiration Date

03/31/2012

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012