NICOLE C FEDDERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216794

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

FEDDERSEN

Business Name

NICOLE C FEDDERSEN

Original Issue Date

03/26/2013

Effective Date

03/26/2013

Expiration Date

03/31/2014

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014