SUSAN L NIKOLA Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062441

License Status

CANCELLED

Business

First Name

SUSAN L

Last Name

NIKOLA

Business Name

SUSAN L NIKOLA

Original Issue Date

10/25/1974

Effective Date

10/25/1974

Expiration Date

01/01/1997

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005