KELLY SUE NIENDICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235081

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

SUE

Last Name

NIENDICK

Business Name

KELLY SUE NIENDICK

Original Issue Date

07/29/2015

Effective Date

03/21/2017

Expiration Date

03/31/2018

City

BLUE MOUND

State

Zip

62513

County

MACON

Ever Disciplined

LastModifiedDate

06/19/2018