NIKKI M AGENT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237079

License Status

NOT RENEWED

Business

First Name

NIKKI

Middle

Last Name

AGENT

Prefix

Business Name

NIKKI M AGENT

Original Issue Date

10/20/2015

Effective Date

04/18/2016

Expiration Date

03/31/2017

City

BROOK

State

Zip

47922

County

INDIANA

Ever Disciplined

LastModifiedDate

05/10/2017