NICKI D DEOCA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049106401

License Status

NOT RENEWED

Business

First Name

NICKI D

Last Name

DEOCA

Business Name

NICKI D DEOCA

Original Issue Date

03/28/1994

Effective Date

03/28/1994

Expiration Date

03/31/1996

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005