NICOLE MICHELLE MARTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257532

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MICHELLE

Last Name

MARTIN

Business Name

NICOLE MICHELLE MARTIN

Original Issue Date

04/17/2018

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

LOUISIANA

State

Zip

63353

Ever Disciplined

LastModifiedDate

07/20/2021