SUSAN L NIKOLA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032340

License Status

INACTIVE

Business

First Name

SUSAN L

Last Name

NIKOLA

Business Name

SUSAN L NIKOLA

Original Issue Date

08/17/1978

Effective Date

08/17/1978

Expiration Date

03/31/1992

City

WEST VALLEY

State

Zip

84120

County

UTAH

Ever Disciplined

LastModifiedDate

10/17/2005