NICOLE LYNN PITLIK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158589

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNN

Last Name

PITLIK

Business Name

NICOLE LYNN PITLIK

Original Issue Date

12/23/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

HIGHLAND

State

Zip

46322

County

INDIANA

Ever Disciplined

LastModifiedDate

05/14/2007