NICOLE RAE VAVAROUTSOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257829

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

RAE

Last Name

VAVAROUTSOS

Business Name

NICOLE RAE VAVAROUTSOS

Original Issue Date

05/14/2018

Effective Date

05/14/2018

Expiration Date

03/31/2019

City

TONICA

State

Zip

61370

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/15/2019