COLE MICHAEL NORDWALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199315

License Status

NOT RENEWED

Business

First Name

COLE

Middle

MICHAEL

Last Name

NORDWALL

Business Name

COLE MICHAEL NORDWALL

Original Issue Date

07/08/2010

Effective Date

01/12/2018

Expiration Date

03/31/2019

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

07/15/2019