NICOLE M KOSTELC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095671

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

KOSTELC

Business Name

NICOLE M KOSTELC

Original Issue Date

01/25/1991

Effective Date

01/25/1991

Expiration Date

03/31/1998

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005