NICOLE L SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201186

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

SMITH

Business Name

NICOLE L SMITH

Original Issue Date

10/21/2010

Effective Date

03/15/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014