AVALON NICOLE NEWSOME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198427

License Status

NOT RENEWED

Business

First Name

AVALON

Middle

NICOLE

Last Name

NEWSOME

Business Name

AVALON NICOLE NEWSOME

Original Issue Date

05/18/2010

Effective Date

01/31/2012

Expiration Date

03/31/2013

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2013