NICOLE LYNNETTE MENGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049306696

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNNETTE

Last Name

MENGE

Business Name

NICOLE LYNNETTE MENGE

Original Issue Date

10/13/2023

Effective Date

10/13/2023

Expiration Date

03/31/2024

City

CHAPIN

State

Zip

62628

County

MORGAN

Ever Disciplined

LastModifiedDate

01/03/2025