NIKITA SHAUNTE CROMWELL - Pharmacist License in Illinois | # 049117795

NIKITA SHAUNTE CROMWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117795

License Status

NOT RENEWED

Business

N

First Name

NIKITA

Middle

SHAUNTE

Last Name

CROMWELL

Business Name

NIKITA SHAUNTE CROMWELL

Original Issue Date

06/09/1997

Effective Date

06/09/1997

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005