NICOLE STEPHANIE SEBASTIAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265664

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

STEPHANIE

Last Name

SEBASTIAN

Business Name

NICOLE STEPHANIE SEBASTIAN

Original Issue Date

05/29/2019

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

TERRE HAUTE

State

Zip

47802

Ever Disciplined

LastModifiedDate

07/20/2021