NICOLE LIZETTE WISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250151

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LIZETTE

Last Name

WISE

Business Name

NICOLE LIZETTE WISE

Original Issue Date

04/24/2017

Effective Date

04/24/2017

Expiration Date

03/31/2018

City

HAMMOND

State

Zip

46323

Ever Disciplined

LastModifiedDate

06/19/2018