NICOLETTE S MAILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101166

License Status

NOT RENEWED

Business

First Name

NICOLETTE S

Last Name

MAILLIS

Business Name

NICOLETTE S MAILLIS

Original Issue Date

09/03/1992

Effective Date

09/03/1992

Expiration Date

03/31/1996

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005