NICKOLE L EGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096724

License Status

NOT RENEWED

Business

First Name

NICKOLE L

Last Name

EGAN

Business Name

NICKOLE L EGAN

Original Issue Date

04/30/1991

Effective Date

04/30/1991

Expiration Date

03/31/1994

City

DEPUE

State

Zip

61322

County

BUREAU

Ever Disciplined

LastModifiedDate

10/17/2005