NICOLE DAWN SHORT - Pharmacist License in Illinois | # 049116147

NICOLE DAWN SHORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116147

License Status

NOT RENEWED

Business

N

First Name

NICOLE DAWN

Last Name

SHORT

Business Name

NICOLE DAWN SHORT

Original Issue Date

12/09/1996

Effective Date

12/09/1996

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005