NICOLE JEANETTE SPENCER MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111601

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

JEANETTE

Last Name

SPENCER

Business Name

NICOLE JEANETTE SPENCER MD

Original Issue Date

08/26/1995

Effective Date

08/26/1995

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005