NICOLE LYNN BERTELSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250339

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

LYNN

Last Name

BERTELSEN

Business Name

NICOLE LYNN BERTELSEN

Original Issue Date

05/03/2017

Effective Date

05/03/2017

Expiration Date

03/31/2018

City

BELOIT

State

Zip

53511

Ever Disciplined

LastModifiedDate

06/19/2018