COLLEEN SUE NICODEMUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210174

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

SUE

Last Name

NICODEMUS

Business Name

COLLEEN SUE NICODEMUS

Original Issue Date

04/06/2012

Effective Date

01/11/2013

Expiration Date

03/31/2014

City

CAMBRIDGE

State

Zip

61238

County

HENRY

Ever Disciplined

LastModifiedDate

05/06/2014