NICOLE IRENE POULAKIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114042

License Status

NOT RENEWED

Business

First Name

NICOLE IRENE

Last Name

POULAKIS

Business Name

NICOLE IRENE POULAKIS

Original Issue Date

04/18/1996

Effective Date

04/18/1996

Expiration Date

03/31/1997

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005