CALLIE NICOLE NIETIEDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218235

License Status

NOT RENEWED

Business

First Name

CALLIE

Middle

NICOLE

Last Name

NIETIEDT

Business Name

CALLIE NICOLE NIETIEDT

Original Issue Date

05/28/2013

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

NEW LONDON

State

Zip

63459

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/20/2016