NICOLE L EWALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049220143

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

EWALD

Prefix

Business Name

NICOLE L EWALD

Original Issue Date

08/20/2013

Effective Date

01/23/2018

Expiration Date

03/31/2019

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019