NICOLE L ANDERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116785

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

ANDERSON

Business Name

NICOLE L ANDERSON

Original Issue Date

03/14/1997

Effective Date

03/14/1997

Expiration Date

03/31/1999

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005