NICOLE M GUILLERMO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150627

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

GUILLERMO

Business Name

NICOLE M GUILLERMO

Original Issue Date

09/17/2003

Effective Date

03/05/2018

Expiration Date

03/31/2019

City

SAINT JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

07/15/2019