NICOLE A MIDDENDORFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210470

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MIDDENDORFF

Business Name

NICOLE A MIDDENDORFF

Original Issue Date

04/20/2012

Effective Date

04/20/2012

Expiration Date

03/31/2013

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

05/06/2013