NICOLE D THERIEAU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243081

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

THERIEAU

Prefix

Business Name

NICOLE D THERIEAU

Original Issue Date

07/10/2016

Effective Date

07/10/2016

Expiration Date

03/31/2017

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

05/10/2017