LISA M NICOLAI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097259

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

NICOLAI

Business Name

LISA M NICOLAI

Original Issue Date

06/21/1991

Effective Date

06/21/1991

Expiration Date

03/31/1996

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005