NICOLE RENEE LANDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225858

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

RENEE

Last Name

LANDA

Business Name

NICOLE RENEE LANDA

Original Issue Date

06/12/2014

Effective Date

06/12/2014

Expiration Date

03/31/2015

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

05/11/2015