NICOLE DOMINIQUE BOUILLET Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049279577

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

DOMINIQUE

Last Name

BOUILLET

Business Name

NICOLE DOMINIQUE BOUILLET

Original Issue Date

02/17/2021

Effective Date

02/17/2021

Expiration Date

05/31/2022

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/27/2022