NICHOLE LASHAY FAGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116767

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

LASHAY

Last Name

FAGAN

Business Name

NICHOLE LASHAY FAGAN

Original Issue Date

03/13/1997

Effective Date

03/13/1997

Expiration Date

03/31/1998

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005