NICOLE P DESAVIEU Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105371

License Status

NOT RENEWED

Business

First Name

NICOLE P

Last Name

DESAVIEU

Business Name

NICOLE P DESAVIEU

Original Issue Date

12/01/1993

Effective Date

12/01/1993

Expiration Date

03/31/1995

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005