NICOLE M PLOCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228248

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

PLOCK

Prefix

Business Name

NICOLE M PLOCK

Original Issue Date

10/02/2014

Effective Date

03/30/2015

Expiration Date

03/31/2016

City

SHANNON

State

Zip

61078

County

CARROLL

Ever Disciplined

LastModifiedDate

05/20/2016