NICOLE MARIE STEPHENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116806

License Status

NOT RENEWED

Business

First Name

NICOLE MARIE

Last Name

STEPHENS

Business Name

NICOLE MARIE STEPHENS

Original Issue Date

03/14/1997

Effective Date

03/14/1997

Expiration Date

03/31/1999

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005