NICOLE VATOY BRADSHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148708

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

VATOY

Last Name

BRADSHAW

Business Name

NICOLE VATOY BRADSHAW

Original Issue Date

06/04/2003

Effective Date

06/04/2003

Expiration Date

03/31/2004

City

MERRILLVILLE

State

Zip

46410

Ever Disciplined

LastModifiedDate

10/20/2005