NICOLE D KAUFFMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196215

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

KAUFFMAN

Business Name

NICOLE D KAUFFMAN

Original Issue Date

01/14/2010

Effective Date

01/26/2011

Expiration Date

03/31/2012

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

05/07/2012