NICOLE RAE EMBRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196735

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

RAE

Last Name

EMBRY

Business Name

NICOLE RAE EMBRY

Original Issue Date

02/10/2010

Effective Date

02/10/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011